Individual provider Active NPI

Edward Akkaway, MD

  • Anesthesiology Physician
  • Marina del Rey, CA
National Provider Identifier
1801884200
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A72465 Issued in CA
Practice address
13160 Mindanao Way Ste 150
Marina del Rey, CA 90292-6393
Phone
(310) 574-0440
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A72465 CA Primary

Addresses

Primary practice location

13160 Mindanao Way Ste 150
Marina del Rey, CA 90292-6393

Mailing address

13160 Mindanao Way Ste 150
Marina del Rey, CA 90292-6393
Phone (310) 574-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000274 CA Practitioner - Anesthesiology 1557313772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward S. Akkaway, M.D Anesthesiology CurrentSince Dec 22, 2004 Accepting new patients
Trias Global, LLC Past Accepting new patients
General Anesthesia Specialists Partnership Medical Group Anesthesiology Past Accepting new patients
Century Anesthesia Assoc. Anesthesiology PastSince Aug 1, 2005 Accepting new patients
Newport Harbor Anesthesia Consultants Medical Group Inc Anesthesiology Past Accepting new patients

Locations

120 S Spalding Dr
Ste 222
Beverly Hills, CA 90212
Phone (310) 550-9855

120 S Spalding Dr
Ste 301
Beverly Hills, CA 90212
Phone (310) 385-7755

13160 Mindanao Way
Ste 150
Marina del Rey, CA 90292
Phone (310) 424-2000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1801884200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 150",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 150",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKKAWAY",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A72465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.