NPIMap

Organization Active NPI

Fountain Valley Anesthesiology Medical Associates, Inc.

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1821228669
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FOUNTAIN VALLEY ANESTHESIOLOGY MEDICAL ASSOCIATES, INC.
Practice address
17100 Euclid St
C/O Operating Room, Fountain Valley Regional Hospital
Fountain Valley, CA 92708-4004
Phone
(714) 418-6522
NPI assigned
Jul 14, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Sarada Mylavarapu, M.D.NPI 1376502195
Title
President
Phone
(714) 966-7200

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
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

17100 Euclid St
C/O Operating Room, Fountain Valley Regional Hospital
Fountain Valley, CA 92708-4004

Mailing address

17100 Euclid St
C/O Operating Room, Fountain Valley Regional Hospital
Fountain Valley, CA 92708-4004
Phone (714) 966-7200

National Provider Directory

National Provider Directory

Locations

File 749354
Los Angeles, CA 90074

Practitioners & affiliated clinicians

Practitioners 11

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": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1821228669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "address_2": "C/O OPERATING ROOM, FOUNTAIN VALLEY REGIONAL HOSPITAL",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-966-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "address_2": "C/O OPERATING ROOM, FOUNTAIN VALLEY REGIONAL HOSPITAL",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-418-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VALLEY ANESTHESIOLOGY MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MYLAVARAPU",
        "authorized_official_first_name": "SARADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-966-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.