Radiance Anesthesia Group Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

RADIANCE ANESTHESIA GROUP INC.

Practice address

5170 Sepulveda Blvd
Suite 220
Sherman Oaks, CA 91403-1171

Phone

(818) 565-9802

Fax

(818) 995-8703

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David Lee Nicolas, RN

Title

Administrator

Phone

(818) 565-9802

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Joseph C Yi, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1902821390
  NPD

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1790038883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD",
            "address_2": "SUITE 220",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031171",
            "telephone_number": "818-565-9802",
            "fax_number": "818-995-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 SEPULVEDA BLVD",
            "address_2": "SUITE 220",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031171",
            "telephone_number": "818-565-9802",
            "fax_number": "818-995-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE ANESTHESIA GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-565-9802",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsea Rackham, MA, BCBA
• Tibor K Racz, DDS
• Rad Optometric Care Inc
• Svetlana Radchenko, ACNP-C
• Abigail Shay Raderman
• Radiance Surgery Center Inc
• Radiance Surgery Center LLC
• Radmanesh Dental Professional Corporation
• Lenora Radparvar, PHARMD
• Radwood Rehab Center LLC

• Anesthesiology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.