Active NPI
Custom Anesthesia and Nursing Services, Inc
- Health Service Clinic/Center
- Long Beach, CA
National Provider Identifier
1578075149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CUSTOM ANESTHESIA AND NURSING SERVICES, INC
- Practice address
- 1127 Loma Ave
Long Beach, CA 90804-4008 - Phone
- (855) 759-3633
- NPI assigned
- Nov 3, 2017
- 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
- Mrs. Mayra Daniela Corona
- Title
- Office Manager
- Phone
- (855) 759-3633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1127 Loma Ave
Long Beach, CA 90804-4008
Mailing address
1127 Loma Ave
Long Beach, CA 90804-4008
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.
-
- Certified Registered Nurse Anesthetist
- Long Beach, CA
- NPI 1366577314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509667200000",
"number": "1578075149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 LOMA AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908044008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 LOMA AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908044008",
"telephone_number": "855-759-3633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM ANESTHESIA AND NURSING SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A",
"authorized_official_last_name": "CORONA",
"authorized_official_first_name": "MAYRA",
"authorized_official_middle_name": "DANIELA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "855-759-3633",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.