Advance Oc Anesthesia Inc.
Organization Active NPI Anesthesiology Physician · Laguna Niguel, CA
NPI 1497360275 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1497360275
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ADVANCE OC ANESTHESIA INC.
- Practice address
- 27882 Forbes Rd Ste 203
Laguna Niguel, CA 92677-1267 - Phone
- (949) 347-2400
- Fax
- (949) 347-2424
- NPI assigned
- Sep 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Silvia Nicolae, MD
- Title
- President
- Phone
- (714) 347-1000
Practitioners 1
-
Silvia Nicolae, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201016001516 | CA | Part B Supplier - Clinic/Group Practice | 5496175218 | Practice locations: Laguna Niguel, CA; Newport Beach, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
27882 Forbes Rd Ste 203
Laguna Niguel, CA 92677-1267
Mailing address
PO Box 25033
Santa Ana, CA 92799-5033
Phone (714) 347-1000
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.