Organization Active NPI

Custom Anesthesia and Nursing Services, Inc

  • Health Service Clinic/Center
  • Long Beach, CA
National Provider Identifier
1578075149
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Nov 3, 2017

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)CodeLicenseStatePrimary
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 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.

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.

Verify at the official NPI Registry.