Active NPI
Oak Anesthesia Associates Medical
- Anesthesiology Physician
- Chevy Chase, MD
National Provider Identifier
1699804914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- OAK ANESTHESIA ASSOCIATES MEDICAL
- Practice address
- 5530 Wisconsin Ave Ste 1455
Chevy Chase, MD 20815-4302 - Phone
- (805) 682-7222
- Fax
- (805) 687-7077
- NPI assigned
- Mar 4, 2007
- 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
- Mark Hestrin, M.D
- Title
- President
- Phone
- (310) 903-1980
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
5530 Wisconsin Ave Ste 1455
Chevy Chase, MD 20815-4302
Mailing address
PO Box 261070
Encino, CA 91426-1070
Phone (310) 903-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11400 Rockville Pike
Rockville, MD 20852
Phone (301) 330-2603
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": "1172966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1699804914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261070",
"city": "ENCINO",
"state": "CA",
"postal_code": "914261070",
"telephone_number": "310-903-1980",
"fax_number": "818-880-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE STE 1455",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154302",
"telephone_number": "805-682-7222",
"fax_number": "805-687-7077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK ANESTHESIA ASSOCIATES MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-04",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "HESTRIN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-903-1980",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.