Organization Active NPI

Anesthesia Associates of San Diego

  • Anesthesiology Physician
  • Chula Vista, CA
National Provider Identifier
1770521122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA ASSOCIATES OF SAN DIEGO
Practice address
1305 Traver CT
Chula Vista, CA 91913-1430
Phone
(765) 284-0493
Fax
(765) 213-3140
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Warren Gibbs, MD
Title
Partner
Phone
(765) 284-0493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1305 Traver CT
Chula Vista, CA 91913-1430

Mailing address

1801 N Walnut St
Muncie, IN 47303-1953
Phone (765) 284-0493

National Provider Directory

National Provider Directory

Locations

1801 N Walnut St
Muncie, IN 47303

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770521122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N WALNUT ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473031953",
            "telephone_number": "765-284-0493",
            "fax_number": "765-213-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 TRAVER CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131430",
            "telephone_number": "765-284-0493",
            "fax_number": "765-213-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "765-284-0493",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.