California Pediatric Anesthesia Consultants

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

Legal business name

CALIFORNIA PEDIATRIC ANESTHESIA CONSULTANTS

Practice address

7766 N Palm Ave Ste 104
Fresno, CA 93711-5704

Phone

(559) 250-8344

NPI assigned

Apr 15, 2024

Last updated

Sep 12, 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

Brittany Boyer

Title

Credentialing

Phone

(209) 956-7732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Marty Clayman, M.D.

  • Pediatric Anesthesiology Physician
  • Clovis, CA
  • NPI 1932294972

  Single Specialty

  Medicare reassignment NPD
• Marino Fernandez, M.D.

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1871688739
  Medicare reassignment NPD
• Nourah Mazid, D.O.

  • Anesthesiology Physician
  • Madera, CA
  • NPI 1407292329
  Medicare reassignment NPD
• Shailesh Shah, MD

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1801986377
  Medicare reassignment NPD
• Vanna Soonthon-Brant, M.D.

  • Pediatric Anesthesiology Physician
  • Fresno, CA
  • NPI 1730273434
  Medicare reassignment NPD
• Jesus Apuya, MD

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1669562237
  NPD (past)

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1891549002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 N WILLOW AVE STE 103 #7",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114411",
            "telephone_number": "559-250-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 N PALM AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115704",
            "telephone_number": "559-250-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PEDIATRIC ANESTHESIA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "209-956-7732"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Mobile Imaging LLC
• California Nephrology Consultants
• California Neurological Surgery
• California Oncology of the Central Valley Medical Group Inc
• California Pain Rehabilitation Institute
• California Physicians Group, PC
• California Psychological Institute
• California Psychological Institute
• California Quality Home Care
• California Rehab Staffing

• Pediatric Anesthesiology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatric Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.