NPIMap

Organization Active NPI

SCQ Anesthesia a Professional Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Tarzana, CA
National Provider Identifier
1689381105
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SCQ ANESTHESIA A PROFESSIONAL NURSING CORPORATION
Practice address
18840 Ventura Blvd # 100a
Tarzana, CA 91356-3301
Phone
(818) 345-6126
Fax
(818) 345-5061
NPI assigned
Nov 3, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Timothy Ou, CRNA
Title
Owner
Phone
(775) 747-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

18840 Ventura Blvd # 100a
Tarzana, CA 91356-3301

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230123000678 CA Part B Supplier - Clinic/Group Practice 9436520814 Receives reassigned benefits from 44 practitioners
Practice locations: Torrance, CA; Tarzana, CA; Riverside, CA; Lancaster, CA; Calabasas, CA; Reseda, CA

National Provider Directory

National Provider Directory

Locations

18840 Ventura Blvd
#100A
Tarzana, CA 91356

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1689381105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18840 VENTURA BLVD # 100A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563301",
            "telephone_number": "818-345-6126",
            "fax_number": "818-345-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCQ ANESTHESIA A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-747-5050",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.