John Petraglia M.D., Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G68169 Issued in CA

Legal business name

JOHN PETRAGLIA M.D., INC

Practice address

14120 Alondra Blvd
Suite C
Santa Fe Springs, CA 90670-5820

Phone

(562) 407-2080

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

John F Petraglia, M.D.NPI 1417933938

Title

President

Phone

(562) 407-2080

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Francis Petraglia, M.D.

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
  • NPI 1417933938

  Anesthesiology

  NPD (past) Authorized official

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1710177324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4259",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034259",
            "telephone_number": "562-407-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD",
            "address_2": "SUITE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705820",
            "telephone_number": "562-407-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PETRAGLIA M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "PETRAGLIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-407-2080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G68169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G681691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Honestie Renee Jimenez
• Kendra Jimenez
• Lidia Jimenez
• Lorena Jimenez, B.A
• Nayeli M Jimenez
• Alexandria Suzanne Johnson
• Keith Johnson
• Sonja Johnson
• Tara Lynn Jojola
• Slettie Morenta Jones, LCSW

• Anesthesiology Physician in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.