Organization Active NPI

Coast to Coast Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Newport Beach, CA
National Provider Identifier
1578099222
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000701 Issued in CA
Legal business name
COAST TO COAST ANESTHESIA SERVICES, LLC
Practice address
455 Old Newport Blvd
Newport Beach, CA 92663-4241
Phone
(706) 402-5480
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Kimberly Anne Middleton, CRNA
Title
Owner
Phone
(706) 402-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 95000701 CA Primary

Addresses

Primary practice location

455 Old Newport Blvd
Newport Beach, CA 92663-4241

Mailing address

23301 Ridge Route Dr SPC 115
Laguna Hills, CA 92653-1722
Phone (706) 402-5480

National Provider Directory

National Provider Directory

Locations

455 Old Newport Blvd
Newport Beach, CA 92663
Phone (706) 402-5480

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": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1578099222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23301 RIDGE ROUTE DR SPC 115",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531722",
            "telephone_number": "706-402-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634241",
            "telephone_number": "706-402-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-402-5480",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.