NPIMap

Organization Active NPI

Sierra Nevada Anesthesia Medical Associates, Inc.

  • Anesthesiology Physician
  • Grass Valley, CA
National Provider Identifier
1508051780
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
FNP 25717 Issued in CA
Legal business name
SIERRA NEVADA ANESTHESIA MEDICAL ASSOCIATES, INC.
Practice address
155 Glasson Way Ste 201
Grass Valley, CA 95945
Phone
(530) 274-6228
NPI assigned
Sep 11, 2007
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Samuel Chan, M.D.
Title
President
Phone
(530) 798-9142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X FNP 25717 CA Primary

Addresses

Primary practice location

155 Glasson Way Ste 201
Grass Valley, CA 95945

Mailing address

Dept la 24446
Pasadena, CA 91185-9118
Phone (530) 274-6228

National Provider Directory

National Provider Directory

Locations

155 Glasson Way
Ste 201
Grass Valley, CA 95945
Phone (530) 274-6228

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1508051780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 24446",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911859118",
            "telephone_number": "530-274-6228",
            "fax_number": "517-787-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GLASSON WAY STE 201",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-274-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEVADA ANESTHESIA MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-798-9142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "FNP 25717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.