Organization Active NPI

Elite Sedation General Partnership

  • Dental Anesthesiology
  • Laguna Niguel, CA
National Provider Identifier
1699405027
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
ELITE SEDATION GENERAL PARTNERSHIP
Practice address
30262 Crown Valley Pkwy Ste B447
Laguna Niguel, CA 92677-2364
Phone
(949) 288-3401
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Andrew Elmasri, DDSNPI 1790101244
Title
Dentist Anesthesiologist
Phone
(949) 288-3401

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
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X Primary

Addresses

Primary practice location

30262 Crown Valley Pkwy Ste B447
Laguna Niguel, CA 92677-2364

Mailing address

30262 Crown Valley Pkwy Ste B447
Laguna Niguel, CA 92677-2364
Phone (949) 288-3401

Other identifiers 1

IdentifierTypeStateIssuer
1790101244MedicaidCA

National Provider Directory

National Provider Directory

Locations

30262 Crown Valley Pkwy
Ste B447
Laguna Niguel, CA 92677
Phone (714) 380-2354

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": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1699405027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30262 CROWN VALLEY PKWY STE B447",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772364",
            "telephone_number": "949-288-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30262 CROWN VALLEY PKWY STE B447",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772364",
            "telephone_number": "949-288-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SEDATION GENERAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ELMASRI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "949-288-3401",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790101244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.