Pediatric Office Anesthesia Specialists

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

Legal business name

PEDIATRIC OFFICE ANESTHESIA SPECIALISTS

Practice address

12625 High Bluff Dr Ste 301
San Diego, CA 92130-2054

Phone

(858) 254-0512

NPI assigned

Aug 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Scott Gillin, MDNPI 1164456513

Title

Co-Owner

Phone

(858) 254-0512

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Scott A. Gillin, MD

  • Pediatric Anesthesiology Physician
  • Cardiff-by-the-Sea, CA
  • NPI 1164456513
  NPD Authorized official

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596931200000",
    "number": "1649880147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13990 MERCADO DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143124",
            "telephone_number": "858-254-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302054",
            "telephone_number": "858-254-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OFFICE ANESTHESIA SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A",
        "authorized_official_last_name": "GILLIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "858-254-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Pederson, DNP
• Thomas Gregg Pederson, MD
• Kathryn Marie Pedgrift, PSY.D.
• Pediatric Cardiology of San Diego
• Pediatric Neurology Therapeutics
• Pediatric Orthopedic and Scoliosis Center of San Diego, Inc.
• Pediatric Primary Care Associated Medical Group
• Pediatric Specialty Partners Inc.
• Celeste Pedraza
• Kassandra Pedraza

• Pediatric Anesthesiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.