Organization Active NPI

Park Anesthesia a Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Downey, CA
National Provider Identifier
1639703358
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PARK ANESTHESIA A NURSING CORPORATION
Doing business as
Park Anesthesia
Practice address
8555 Florence Ave
Downey, CA 90240-4014
Phone
(562) 923-9351
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Matthew Park
Title
Crna
Phone
(323) 842-6191

Specialties & licenses 1

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

Addresses

Primary practice location

8555 Florence Ave
Downey, CA 90240-4014

Mailing address

2942 Sierra Crest Way
Hacienda Heights, CA 91745-6546

Other names 1

  • Park Anesthesia Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1639703358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 SIERRA CREST WAY",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 FLORENCE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404014",
            "telephone_number": "562-923-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK ANESTHESIA A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "323-842-6191"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.