Martha Peck Anesthesia Nursing Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3222 Issued in CA

Legal business name

MARTHA PECK ANESTHESIA NURSING INC

Practice address

850 S Atlantic Blvd
Ste 201
Monterey Park, CA 91754-4730

Phone

(310) 937-2780

Fax

(310) 937-2780

NPI assigned

Jan 12, 2009

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha M Peck, CRNANPI 1669548244

Title

President

Phone

(310) 937-2780

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Martha M Peck, CRNA

  • Certified Registered Nurse Anesthetist
  • Orange, CA
  • NPI 1669548244

  VA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1568609683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 STANFORD AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784039",
            "telephone_number": "310-937-2780",
            "fax_number": "310-937-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD",
            "address_2": "STE 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "310-937-2780",
            "fax_number": "310-937-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA PECK ANESTHESIA NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-937-2780",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia J Macias
• Alizandra Mikael Demesa Magallanes
• Magda a Hassan M.D., Inc
• Mirian Marin-Cifuentes
• Renee Jacqueline Marin, LVN
• Karla Yanira Martinez, PHARM.D.
• Melanie Lynne Martinez, MSW INTERN
• Richard Martinez
• Sophia Lauren Martinez
• Tara Martinez, DPT

• Certified Registered Nurse Anesthetist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.