Active NPI
James K. Dellorusso, M.D., PC
- Anesthesiology Physician
- Long Beach, CA
National Provider Identifier
1558473983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A45146
- Legal business name
- JAMES K. DELLORUSSO, M.D., PC
- Practice address
- 1720 Termino Ave
Long Beach, CA 90804-2104 - Phone
- (562) 498-1000
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James K Dellorusso, M.D.
- Title
- President
- Phone
- (800) 883-7243
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A45146 | CA | Primary |
Addresses
Primary practice location
1720 Termino Ave
Long Beach, CA 90804-2104
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A451460 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Long Beach, CA
- NPI 1366425811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304553600000",
"number": "1558473983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "800-883-7243",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 TERMINO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042104",
"telephone_number": "562-498-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES K. DELLORUSSO, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2011-05-05",
"status": "A",
"authorized_official_last_name": "DELLORUSSO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-883-7243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A45146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A451460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.