Active NPI
Primary Anesthesia Services PC
- Anesthesiology Physician
- Visalia, CA
National Provider Identifier
1598053795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PRIMARY ANESTHESIA SERVICES PC
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-2000
- NPI assigned
- Jul 21, 2011
- 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
- Marc Koch, M.D.
- Title
- Owner/President
- Phone
- (914) 637-2063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
450 Mamaroneck Ave Ste 201
Harrison, NY 10528-2436
Phone (914) 637-2075
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554249600000",
"number": "1598053795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 MAMARONECK AVE STE 201",
"city": "HARRISON",
"state": "NY",
"postal_code": "105282436",
"telephone_number": "914-637-2075",
"fax_number": "914-560-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-624-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY ANESTHESIA SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-21",
"last_updated": "2019-04-03",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "914-637-2063",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.