Marie Mbouni-Essomba, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

9080 Issued in ND

Practice address

3751 Katella Avenue
Los Alamitos Medical Center
Los Alamitos, CA 90720

Phone

(310) 779-4972

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• California Anesthesia Providers a Medical Corporation

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942504501
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1831116474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 MONTEREY BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544549",
            "telephone_number": "310-779-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 KATELLA AVENUE",
            "address_2": "LOS ALAMITOS MEDICAL CENTER",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "310-779-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOUNI-ESSOMBA",
        "first_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "9080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy W Matteson, PT, CSCS
• Danika Matuska
• Deborah Marie Mauldin, LCSW
• Haniffa M Maznavi, M.D.
• Khalid Maznavi
• Felicia Spring McAdams
• Valerie McCorkle, PPS
• Jeffrey J McCullough, DMD, MS
• Maureen Elna McCullough, R.N .
• Adriana McCutcheon, PA-C

• Anesthesiology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.