Sepulveda Anesthesia Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SEPULVEDA ANESTHESIA INC

Practice address

5651 Sepulveda Blvd Ste 103
Sherman Oaks, CA 91411-2954

Phone

(818) 273-4272

Fax

(818) 273-4278

NPI assigned

May 4, 2020

Organization subpart

No

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

Authorized official

Name

Tina Mahserejian

Title

Medical Biller

Phone

(818) 273-4272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1588285266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD STE 103",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112954",
            "telephone_number": "818-273-4272",
            "fax_number": "818-273-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD STE 103",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112954",
            "telephone_number": "818-273-4272",
            "fax_number": "818-273-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPULVEDA ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "MAHSEREJIAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "818-273-4272"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.