Organization Active NPI

Western Anesthesia Medical Associates Inc

  • Anesthesiology Physician
  • Mission Viejo, CA
National Provider Identifier
1497796320
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTERN ANESTHESIA MEDICAL ASSOCIATES INC
Practice address
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone
(949) 364-1400
NPI assigned
Jun 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ponnappa Kalimada, MD
Title
President
Phone
(949) 582-9624

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416001498 CA Part B Supplier - Clinic/Group Practice 7012902216 Receives reassigned benefits from 56 practitioners
Practice locations: Mission Viejo, CA; San Clemente, CA; Orange, CA; Laguna Hills, CA; Laguna Beach, CA; Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

25211 Paseo de Alicia
#100
Laguna Hills, CA 92653
Phone (949) 900-3480

23025 Mill Creek Dr
Ste 203
Laguna Hills, CA 92653

27401 Los Altos
Ste 180
Mission Viejo, CA 92691
Phone (949) 582-9624

27700 Medical Center Rd
Ste 3
Mission Viejo, CA 92691

26370 Crown Vly Pkwy
Mission Viejo, CA 92691

26522 La Alameda
Mission Viejo, CA 92691
Phone (949) 282-1618

26921 Crown Valley Pkwy
Ste 201
Mission Viejo, CA 92691
Phone (949) 333-2224

27700 Medical Center Rd
Ste 171
Mission Viejo, CA 92691

26522 La Alameda
Ste 370
Mission Viejo, CA 92691
Phone (949) 600-7864

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

27700 Medical Center Rd
Mission Viejo, CA 92691-6426

Mailing address

PO Box 8422
Pasadena, CA 91109-8422
Phone (503) 372-2740

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GR0082380MedicaidCA

Other names 1

NPPES NPI Registry
  • Mission Viejo Anesthesia Consultants, Inc. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2014.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1497796320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8422",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911098422",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-364-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ANESTHESIA MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "KALIMADA",
        "authorized_official_first_name": "PONNAPPA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-582-9624",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Viejo Anesthesia Consultants, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.