Ukiah Valley Anesthesia Services

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C54671 Issued in CA

Legal business name

UKIAH VALLEY ANESTHESIA SERVICES

Practice address

509 Kennwood Dr
Ukiah, CA 95482-8769

Phone

(360) 672-1401

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

E Christopher Outlund, MD

Title

President/Owner

Phone

(360) 672-1401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1780938480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 KENNWOOD DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954828769",
            "telephone_number": "360-672-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 KENNWOOD DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954828769",
            "telephone_number": "360-672-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKIAH VALLEY ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "OUTLUND",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-672-1401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C54671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ukiah Adventist Hosptial
• Ukiah Obstetrics and Gynecology
• Ukiah Senior Center
• Ukiah Senior Center Inc.
• Ukiah Surgery Center LP
• Ukiah Valley Primary Care Medical Group, Inc
• Ukiah Valley Primary Care Medical Group, Inc
• Jason Don Ullyott, PA
• Melanie Ann Ulvila, LCSW
• Heylee Unangst

• Anesthesiology Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.