Active NPI
Elite Sedation General Partnership
- Dental Anesthesiology
- Laguna Niguel, CA
National Provider Identifier
1699405027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Elmasri, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790101244 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dental Anesthesiology
- Laguna Niguel, CA
- NPI 1790101244
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.