Divine Anesthesia Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

DIVINE ANESTHESIA INC

Practice address

16543 Carmenita Rd
Cerritos, CA 90703-2218

Phone

(562) 219-7251

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Rosales, CRNANPI 1689334674

Title

Owner

Phone

(949) 588-2190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Matthew Saul Rosales I, CRNA

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
  • NPI 1689334674

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1861227613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16543 CARMENITA RD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032218",
            "telephone_number": "562-219-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-588-2190",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Dillon, B.A.
• Dilpreet Pami Julka a Medical Corporation
• Vasiliki Karina Dimopoulos
• Christine Ding, MFT-TRAINEE
• Dipti Doshi MD, Inc.
• Zeela G Diwa, MS, OTR/L
• Cindy H DO, PHARM.D
• Trinh M Doan, P.T.
• Doctorscare Aco
• Arline Dominguez, LMFT

• Certified Registered Nurse Anesthetist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.