Organization Active NPI

South Coast Anesthesia

  • Nursing Facility/Intermediate Care Facility
  • Escondido, CA
National Provider Identifier
1770691297
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
RN2955780 Issued in CA
Legal business name
SOUTH COAST ANESTHESIA
Practice address
29724 Platanus Dr
Escondido, CA 92026-5936
Phone
(760) 297-1284
Fax
(760) 297-1279
NPI assigned
Aug 25, 2006
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
John Kenneth Kane, CRNANPI 1306954813
Title
President
Phone
(760) 297-1284

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
Nursing Facility/Intermediate Care Facility 313M00000X RN2955780 CA Primary

Addresses

Primary practice location

29724 Platanus Dr
Escondido, CA 92026-5936

Mailing address

29724 Platanus Dr
Escondido, CA 92026-5936
Phone (760) 297-1284

Other identifiers 1

IdentifierTypeStateIssuer
RN2955780MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1770691297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29724 PLATANUS DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920265936",
            "telephone_number": "760-297-1284",
            "fax_number": "760-297-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29724 PLATANUS DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920265936",
            "telephone_number": "760-297-1284",
            "fax_number": "760-297-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-297-1284",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "RN2955780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN2955780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.