NPIMap

Organization Active NPI

Inland Empire Anesthesia Medical Group, Inc

  • Anesthesiology Physician
  • Colton, CA
National Provider Identifier
1861502841
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
GR0012030 Issued in CA
Legal business name
INLAND EMPIRE ANESTHESIA MEDICAL GROUP, INC
Practice address
400 N Pepper Ave
Department of Anesthesia
Colton, CA 92324-1801
Phone
(909) 580-2440
Fax
(909) 580-2441
NPI assigned
Aug 30, 2006
Last updated
Mar 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Mark E. Comunale, MDNPI 1245255041
Title
President
Phone
(909) 580-2440

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X GR0012030 CA Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X GR0012030 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X GR0012030 CA

Addresses

Primary practice location

400 N Pepper Ave
Department of Anesthesia
Colton, CA 92324-1801

Mailing address

310 N Indian Hill Blvd # 601
Inland Empire Anesthesia Medical Group
Claremont, CA 91711-4611
Phone (909) 580-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061214000268 CA Part B Supplier - Clinic/Group Practice 1052310331 Receives reassigned benefits from 49 practitioners
Practice locations: Colton, CA

National Provider Directory

National Provider Directory

Locations

1505 S D St
Ste 202
San Bernardino, CA 92408

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1861502841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N INDIAN HILL BLVD # 601",
            "address_2": "INLAND EMPIRE ANESTHESIA MEDICAL GROUP",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114611",
            "telephone_number": "909-580-2440",
            "fax_number": "909-580-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-2440",
            "fax_number": "909-580-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE ANESTHESIA MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "COMUNALE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-580-2440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "GR0012030",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "GR0012030",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "GR0012030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.