NPIMap

Organization Active NPI

Southern Los Angeles County Anesthesia Medical Group Incorporated

  • Anesthesiology Physician
  • Long Beach, CA
National Provider Identifier
1679711022
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A9358 Issued in CA
Legal business name
SOUTHERN LOS ANGELES COUNTY ANESTHESIA MEDICAL GROUP INCORPORATED
Practice address
2999 E Ocean Blvd
Apt# 930
Long Beach, CA 90803-2545
Phone
(562) 221-9071
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Casper Young, D.O.NPI 1124298906
Title
Sole Owner
Phone
(818) 888-7815

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 20A9358 CA Primary

Addresses

Primary practice location

2999 E Ocean Blvd
Apt# 930
Long Beach, CA 90803-2545

Mailing address

PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815

National Provider Directory

National Provider Directory

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1679711022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 E OCEAN BLVD",
            "address_2": "APT# 930",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032545",
            "telephone_number": "562-221-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LOS ANGELES COUNTY ANESTHESIA MEDICAL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CASPER",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "818-888-7815",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A9358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.