Organization Active NPI

Jarco Anesthesia Services, Inc

  • Specialist
  • Loma Linda, CA
National Provider Identifier
1568579803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
160039 Issued in CA
Legal business name
JARCO ANESTHESIA SERVICES, INC
Practice address
11487 Via Capri
Loma Linda, CA 92354-3853
Phone
(909) 796-8354
Fax
(909) 796-8355
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeconias Demiar, CRNA
Title
President
Phone
(888) 926-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 160039 CA Primary

Addresses

Primary practice location

11487 Via Capri
Loma Linda, CA 92354-3853

Mailing address

PO Box 2175
Upland, CA 91785-2175
Phone (909) 608-2035

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568579803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2175",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917852175",
            "telephone_number": "909-608-2035",
            "fax_number": "909-608-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11487 VIA CAPRI",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543853",
            "telephone_number": "909-796-8354",
            "fax_number": "909-796-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARCO ANESTHESIA SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMIAR",
        "authorized_official_first_name": "JECONIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-926-3600",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "160039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.