Organization Active NPI

Oasis Anesthesia, Surgical and Medical Group, Inc

  • Anesthesiology Physician
  • Newport Beach, CA
National Provider Identifier
1851905483
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OASIS ANESTHESIA, SURGICAL AND MEDICAL GROUP, INC
Doing business as
Professional Anesthesia Group
Practice address
496 Old Newpor Blvd.
Suite 2
Newport Beach, CA 92663
Phone
(949) 646-8444
Fax
(949) 646-8388
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Andrew Saeed Iraniha, MD
Title
Physician/ Surgeon
Phone
(949) 646-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

496 Old Newpor Blvd.
Suite 2
Newport Beach, CA 92663

Mailing address

496 Old Newpor Blvd.
Suite 2
Newport Beach, CA 92663
Phone (949) 646-8444

Other identifiers 1

IdentifierTypeStateIssuer
A55391MedicaidCA

Other names 1

  • Professional Anesthesia Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1851905483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 OLD NEWPOR BLVD.",
            "address_2": "SUITE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-646-8444",
            "fax_number": "949-646-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 OLD NEWPOR BLVD.",
            "address_2": "SUITE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-646-8444",
            "fax_number": "949-646-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS ANESTHESIA, SURGICAL AND MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "IRANIHA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SAEED",
        "authorized_official_title_or_position": "PHYSICIAN/ SURGEON",
        "authorized_official_telephone_number": "949-646-8444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A55391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.