Organization Active NPI

Chin Up Anesthesia Services Inc

  • Certified Registered Nurse Anesthetist
  • Arcadia, CA
National Provider Identifier
1679395065
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CHIN UP ANESTHESIA SERVICES INC
Practice address
255 E Santa Clara St Ste 110
Arcadia, CA 91006-7233
Phone
(818) 220-2825
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Ruth Dubon
Title
Billing
Phone
(818) 220-2825

Specialties & licenses 1

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

Addresses

Primary practice location

255 E Santa Clara St Ste 110
Arcadia, CA 91006-7233

Mailing address

255 E Santa Clara St Ste 110
Arcadia, CA 91006-7233
Phone (818) 220-2825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217003776 CA Part B Supplier - Clinic/Group Practice 1557898434 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

255 E Santa Clara St
Arcadia, CA 91006
Phone (626) 254-1800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1679395065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E SANTA CLARA ST STE 110",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067233",
            "telephone_number": "818-220-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SANTA CLARA ST STE 110",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067233",
            "telephone_number": "818-220-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIN UP ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DUBON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "818-220-2825"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.