NPIMap

Organization Active NPI

Anesthesia Medical Group of Riverside, Inc

  • Anesthesiology Physician
  • Riverside, CA
National Provider Identifier
1669407839
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA MEDICAL GROUP OF RIVERSIDE, INC
Practice address
6969 Brockton Ave Ste B
Riverside, CA 92506-3813
Phone
(951) 686-3575
Fax
(951) 781-2194
NPI assigned
Jul 12, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Michael Buchan, MDNPI 1093858052
Title
President
Phone
(951) 686-3575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

6969 Brockton Ave Ste B
Riverside, CA 92506-3813

Mailing address

6969 Brockton Ave Ste B
Riverside, CA 92506-3813
Phone (951) 686-3575

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ207762MedicaidCA

National Provider Directory

National Provider Directory

Locations

4444 Magnolia Ave
Ste C
Riverside, CA 92501
Phone (714) 336-0429

6969 Brockton Ave
Ste B
Riverside, CA 92506
Phone (951) 686-3545

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1669407839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 BROCKTON AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063813",
            "telephone_number": "951-686-3575",
            "fax_number": "951-781-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 BROCKTON AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063813",
            "telephone_number": "951-686-3575",
            "fax_number": "951-781-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA MEDICAL GROUP OF RIVERSIDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "BUCHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-686-3575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ207762",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.