Organization Active NPI

Anesthesia Iag Services LT

  • Anesthesiologist Assistant
  • Victorville, CA
National Provider Identifier
1841439361
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
RN299944 CRNA 604 Issued in CA
Legal business name
ANESTHESIA IAG SERVICES LT
Practice address
13332 Cabana Way
Victorville, CA 92392-6364
Phone
(760) 241-2179
NPI assigned
Feb 5, 2009
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Ms. Gayle Lee Ulshafer, CRNANPI 1811905722
Title
Ceo
Phone
(760) 241-2179

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
Anesthesiologist Assistant 367H00000X RN299944 CRNA 604 CA Primary

Addresses

Primary practice location

13332 Cabana Way
Victorville, CA 92392-6364

Mailing address

13332 Cabana Way
Victorville, CA 92392-6364
Phone (760) 241-2179

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia Iag Services LT2 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.

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": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1841439361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13332 CABANA WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926364",
            "telephone_number": "760-241-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13332 CABANA WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926364",
            "telephone_number": "760-241-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA IAG SERVICES LT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "ULSHAFER",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-241-2179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "CA",
            "license": "RN299944   CRNA 604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.