NPIMap

Organization Active NPI

Tip Top Anesthesia Group Inc

  • Licensed Practical Nurse
  • Beverly Hills, CA
National Provider Identifier
1508283698
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
3437 Issued in CA
Legal business name
TIP TOP ANESTHESIA GROUP INC
Practice address
50 N la Cienega Blvd
Suite 203
Beverly Hills, CA 90211-2227
Phone
(323) 988-0896
Fax
(323) 988-2113
NPI assigned
Mar 26, 2014
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Christy Davis, CRNANPI 1467644682
Title
President
Phone
(323) 988-0896

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
Licensed Practical Nurse 164W00000X 3437 CA Primary

Addresses

Primary practice location

50 N la Cienega Blvd
Suite 203
Beverly Hills, CA 90211-2227

Mailing address

4309 Bel Aire Dr
La Canada, CA 91011-3308
Phone (323) 988-0896

Other identifiers 1

IdentifierTypeStateIssuer
3437OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908002508 CA Part B Supplier - Clinic/Group Practice 0941429872 Receives reassigned benefits from 84 practitioners
Practice locations: Bakersfield, CA; Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1508283698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 BEL AIRE DR",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113308",
            "telephone_number": "323-988-0896",
            "fax_number": "323-988-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD",
            "address_2": "SUITE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112227",
            "telephone_number": "323-988-0896",
            "fax_number": "323-988-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIP TOP ANESTHESIA GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-988-0896",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.