Organization Active NPI

An Anesthesia and Pain Management Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Walnut Creek, CA
National Provider Identifier
1811347602
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A44609 Issued in CA
Legal business name
AN ANESTHESIA AND PAIN MANAGEMENT MEDICAL CORPORATION
Practice address
1455 Montego Ste 104
Walnut Creek, CA 94598-2960
Phone
(707) 748-7248
Fax
(707) 745-9076
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Arun Anand, M.D.NPI 1578521050
Title
Chief Executive Officer
Phone
(925) 787-3697

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X A44609 CA Primary

Addresses

Primary practice location

1455 Montego Ste 104
Walnut Creek, CA 94598-2960

Mailing address

PO Box 5668
Walnut Creek, CA 94596-1668
Phone (707) 748-7248

Other identifiers 2

IdentifierTypeStateIssuer
GR0090670MedicaidCA
ZZZ22322ZOtherCAMCARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
An Anesthesia and Pain Management Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1455 Montego
Ste 104
Walnut Creek, CA 94598
Phone (925) 946-1711

Practitioners & affiliated clinicians

Practitioners 1

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1811347602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5668",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945961668",
            "telephone_number": "707-748-7248",
            "fax_number": "707-745-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MONTEGO STE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982960",
            "telephone_number": "707-748-7248",
            "fax_number": "707-745-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ANESTHESIA AND PAIN MANAGEMENT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "925-787-3697",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A44609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PTAN",
            "identifier": "ZZZ22322Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.