NPIMap

Organization Active NPI

Orange Coast Anesthesia Inc

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1508138256
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A101740 Issued in CA
Legal business name
ORANGE COAST ANESTHESIA INC
Practice address
2601 E Chapman Ave
Orange, CA 92869-3206
Phone
(714) 633-0011
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Dr. Wynnson W Tom, M.D.NPI 1902128028
Title
President
Phone
(626) 204-6747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A101740 CA Primary

Addresses

Primary practice location

2601 E Chapman Ave
Orange, CA 92869-3206

Mailing address

PO Box 89 4940
Los Angeles, CA 90189-4940
Phone (516) 945-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000047 CA Part B Supplier - Clinic/Group Practice 2466613591 Receives reassigned benefits from 146 practitioners
Practice locations: Los Alamitos, CA; Irvine, CA; Los Angeles, CA; Newport Beach, CA; Orange, CA; Placentia, CA; Santa Ana, CA; Tustin, CA…

National Provider Directory

National Provider Directory

Locations

3420 Bristol St
#701
Costa Mesa, CA 92626
Phone (714) 619-2658

1146 N Brand Blvd
#200
Glendale, CA 91202
Phone (818) 243-9999

1400 Reynolds Ave
Ste 125
Irvine, CA 92614
Phone (657) 900-4536

3680 Wilshire Blvd
Fl 2
Los Angeles, CA 90010
Phone (213) 348-6388

400 N Tustin Ave
Ste 400
Santa Ana, CA 92705
Phone (714) 619-5383

Practitioners & affiliated clinicians

Practitioners 149

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

View all 149

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1508138256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89 4940",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "901894940",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693206",
            "telephone_number": "714-633-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COAST ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "WYNNSON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-204-6747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A101740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.