Organization Active NPI

Sunset Anesthesia Group, LLC

  • Anesthesiology Physician
  • Beaverton, OR
National Provider Identifier
1619719564
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SUNSET ANESTHESIA GROUP, LLC
Practice address
15390 NW Cornell Rd Ste 125
Beaverton, OR 97006-5627
Phone
(503) 601-2910
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Chieu-Vy Vu
Title
Accounts Coordinator
Phone
(503) 601-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

15390 NW Cornell Rd Ste 125
Beaverton, OR 97006-5627

Mailing address

15390 NW Cornell Rd Ste 125
Beaverton, OR 97006-5627
Phone (503) 601-2910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821003016 OR Part B Supplier - Clinic/Group Practice 0749728707 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1619719564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15390 NW CORNELL RD STE 125",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065627",
            "telephone_number": "503-601-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15390 NW CORNELL RD STE 125",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065627",
            "telephone_number": "503-601-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET ANESTHESIA GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "CHIEU-VY",
        "authorized_official_title_or_position": "ACCOUNTS COORDINATOR",
        "authorized_official_telephone_number": "503-601-2910"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.