NPIMap

Organization Active NPI

San Gabriel Anesthesia Associates, PC

  • Certified Registered Nurse Anesthetist
  • Santa Ana, CA
National Provider Identifier
1538424908
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SAN GABRIEL ANESTHESIA ASSOCIATES, PC
Practice address
1403 N Tustin Ave Ste 100
Santa Ana, CA 92705-8691
Phone
(714) 633-1338
Fax
(844) 897-3788
NPI assigned
Jul 11, 2012
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Mr. Lily Lee, M.D.NPI 1730311226
Title
President
Phone
(800) 898-2020

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
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

1403 N Tustin Ave Ste 100
Santa Ana, CA 92705-8691

Mailing address

288 N Santa Anita Ave Ste 402
Arcadia, CA 91006-3183
Phone (800) 898-2020

Other practice location 1

288 N Santa Anita Ave Ste 404
Arcadia, CA 91006-3183
Phone (626) 300-5300

Other practice location 2

44139 Monterey Ave Ste B
Palm Desert, CA 92260-8700
Phone (760) 773-4411

Other practice location 3

44815 Fig Ave Ste 100
Lancaster, CA 93534-3144
Phone (661) 802-7978

Other practice location 4

700 W El Norte Pkwy
Escondido, CA 92026-3923
Phone (760) 738-7830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120828000023 CA Part B Supplier - Clinic/Group Practice 3678720604 Receives reassigned benefits from 39 practitioners
Practice locations: Arcadia, CA; Escondido, CA; Lancaster, CA; Palm Desert, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

288 N Santa Anita Ave
Ste 402
Arcadia, CA 91006
Phone (626) 269-5371

1403 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 633-1338

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1538424908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N SANTA ANITA AVE STE 402",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063183",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N TUSTIN AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058691",
            "telephone_number": "714-633-1338",
            "fax_number": "844-897-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 N Santa Anita Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063183",
            "country_code": "US",
            "telephone_number": "626-300-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44139 Monterey Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922608700",
            "country_code": "US",
            "telephone_number": "760-773-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44815 Fig Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343144",
            "country_code": "US",
            "telephone_number": "661-802-7978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W El Norte Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920263923",
            "country_code": "US",
            "telephone_number": "760-738-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN GABRIEL ANESTHESIA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-898-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.