Organization Active NPI

Medical Anesthesia Consultants Medical Group, Inc.

  • Anesthesiology Physician
  • San Ramon, CA
National Provider Identifier
1619925047
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N/A
Legal business name
MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP, INC.
Practice address
2420 Camino Ramon
#270
San Ramon, CA 94583-4319
Phone
(925) 543-0140
Fax
(925) 543-0145
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Kathleen Kondas
Title
Officer
Phone
(877) 328-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X N/A Primary

Addresses

Primary practice location

2420 Camino Ramon
#270
San Ramon, CA 94583-4319

Mailing address

PO Box 749088
Los Angeles, CA 90074-9088
Phone (866) 678-4320

Other practice location 1

80 Grand Ave Ste 300
Oakland, CA 94612-3757
Phone (800) 296-2611

Other practice location 2

460 N Wiget Ln Ste C
Walnut Creek, CA 94598-2408
Phone (877) 328-1119

Other practice location 3

222 W 39th Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Other practice location 4

1844 San Miguel Dr Ste 109
Walnut Creek, CA 94596-8601
Phone (925) 951-0917

Other practice location 5

3445 Pacific Coast Hwy Ste 110
Torrance, CA 90505-6659
Phone (310) 325-4555

Other practice location 6

3445 Pacific Coast Hwy Ste 120
Torrance, CA 90505-6659
Phone (310) 376-2707

Other practice location 7

514 N Prospect Ave Ste 100
Redondo Beach, CA 90277-3036
Phone (310) 376-2707

Other practice location 8

6801 Park Ter Ste 300
Los Angeles, CA 90045-9212
Phone (310) 665-7150

Other practice location 9

4650 Lincoln Blvd
Marina Del Rey, CA 90292-6306
Phone (310) 823-8911

Other practice location 10

100 N Wiget Ln Ste 100
Walnut Creek, CA 94598-5909
Phone (925) 210-8400

National Provider Directory

National Provider Directory

Locations

1828 El Camino Real
Ste 611
Burlingame, CA 94010
Phone (650) 504-9581

11860 Dublin Blvd
Dublin, CA 94568
Phone (925) 829-7277

2675 Stevenson Blvd
Fl 2
Fremont, CA 94538
Phone (510) 791-5200

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

2110 Forest Ave
Fl 2
San Jose, CA 95128
Phone (408) 297-3432

100 Park Pl
Ste 110C
San Ramon, CA 94583
Phone (925) 331-8520

3160 Crow Canyon Rd
San Ramon, CA 94583
Phone (925) 867-1800

100 N Wiget Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 933-7100

355 Lennon Ln
Ste 275
Walnut Creek, CA 94598
Phone (925) 278-7570

133 La Casa Via
Walnut Creek, CA 94598
Phone (925) 937-8100

100 N Wiget Ln
Ste 140
Walnut Creek, CA 94598
Phone (530) 758-2324

460 N Wiget Ln
Ste 2
Walnut Creek, CA 94598
Phone (925) 378-4500

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1619925047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749088",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749088",
            "telephone_number": "866-678-4320",
            "fax_number": "925-543-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 CAMINO RAMON",
            "address_2": "#270",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834319",
            "telephone_number": "925-543-0140",
            "fax_number": "925-543-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Grand Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123757",
            "country_code": "US",
            "telephone_number": "800-296-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 N Wiget Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982408",
            "country_code": "US",
            "telephone_number": "877-328-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W 39th Ave",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944034364",
            "country_code": "US",
            "telephone_number": "650-573-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1844 San Miguel Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945968601",
            "country_code": "US",
            "telephone_number": "925-951-0917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3445 Pacific Coast Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056659",
            "country_code": "US",
            "telephone_number": "310-325-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3445 Pacific Coast Hwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056659",
            "country_code": "US",
            "telephone_number": "310-376-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 N Prospect Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902773036",
            "country_code": "US",
            "telephone_number": "310-376-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Park Ter Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900459212",
            "country_code": "US",
            "telephone_number": "310-665-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926306",
            "country_code": "US",
            "telephone_number": "310-823-8911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Wiget Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945985909",
            "country_code": "US",
            "telephone_number": "925-210-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "877-328-1119"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.