Organization Active NPI

Anesthesia Provider Group Inc

  • Anesthesiology Physician
  • Pasadena, CA
National Provider Identifier
1538404256
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA PROVIDER GROUP INC
Practice address
1035 S Fair Oaks Ave Ste 101
Pasadena, CA 91105-2653
Phone
(626) 696-1400
Fax
(626) 696-1451
NPI assigned
Dec 6, 2012
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Dr. Clayton A Varga, M.DNPI 1629060694
Title
Ceo
Phone
(626) 696-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1035 S Fair Oaks Ave Ste 101
Pasadena, CA 91105-2653

Mailing address

10565 Civic Center Dr Ste 250
Rancho Cucamonga, CA 91730-3854
Phone (626) 696-1400

Other practice location 1

3434 Midway Dr Ste 1008
San Diego, CA 92110-4924
Phone (626) 696-1400

Other practice location 2

830 S Citrus Ave Ste 101
Azusa, CA 91702-5959
Phone (626) 696-1400

Other practice location 3

69780 Stellar Dr Ste B
Rancho Mirage, CA 92270-2954
Phone (626) 696-1400

Other practice location 4

4682 Ontario Mills Pkwy
Ontario, CA 91764-5104
Phone (626) 696-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130904000472 CA Part B Supplier - Clinic/Group Practice 1951544329 Receives reassigned benefits from 25 practitioners
Practice locations: San Diego, CA; Rancho Mirage, CA; Rancho Cucamonga, CA; Pasadena, CA; Ontario, CA; Azusa, CA

National Provider Directory

National Provider Directory

Locations

830 S Citrus Ave
Ste 101
Azusa, CA 91702
Phone (626) 543-1560

4682 Ontario Mills Pkwy
Ontario, CA 91764
Phone (909) 204-3540

224 N Fair Oaks Ave
Pasadena, CA 91103

10565 Civic Center Dr
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 493-3800

69780 Stellar Dr
Ste B
Rancho Mirage, CA 92270
Phone (760) 424-3399

3434 Midway Dr
Ste 1008
San Diego, CA 92110
Phone (858) 432-7899

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1538404256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "626-696-1400",
            "fax_number": "626-696-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S FAIR OAKS AVE STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052653",
            "telephone_number": "626-696-1400",
            "fax_number": "626-696-1451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Midway Dr Ste 1008",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921104924",
            "country_code": "US",
            "telephone_number": "626-696-1400",
            "fax_number": "696-696-1451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 S Citrus Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Azusa",
            "state": "CA",
            "postal_code": "917025959",
            "country_code": "US",
            "telephone_number": "626-696-1400",
            "fax_number": "626-696-1451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69780 Stellar Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922702954",
            "country_code": "US",
            "telephone_number": "626-696-1400",
            "fax_number": "696-696-1451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4682 Ontario Mills Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917645104",
            "country_code": "US",
            "telephone_number": "626-696-1400",
            "fax_number": "696-696-1451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANESTHESIA PROVIDER GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-696-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.