Active NPI
Sierra Nevada Anesthesia Medical Associates, Inc.
- Anesthesiology Physician
- Grass Valley, CA
National Provider Identifier
1891740734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- FNP 25717
- Legal business name
- SIERRA NEVADA ANESTHESIA MEDICAL ASSOCIATES, INC.
- Practice address
- 155 Glasson Way
Grass Valley, CA 95945-5723 - Phone
- (530) 247-6000
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Russell Wilbur, MD
- Title
- President
- Phone
- (530) 274-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | FNP 25717 | CA | Primary |
Addresses
Primary practice location
155 Glasson Way
Grass Valley, CA 95945-5723
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0088230 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Grass Valley, CA
- NPI 1043286974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1891740734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "714-347-1000",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 GLASSON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455723",
"telephone_number": "530-247-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA NEVADA ANESTHESIA MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "WILBUR",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-274-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "FNP 25717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
- Sierra Joint Community College District
- Sierra Mental Wellness Group
- Sierra Mental Wellness Group
- Sierra Nevada Anesthesia Medical Assoc Inc
- Sierra Nevada Anesthesia Medical Associates, Inc.
- Sierra Nevada Gastroenterology Medical Associates, Inc.
- Sierra Nevada Memorial-Miners Hospital
- Sierra Nevada Memorial-Miners Hospital
- Sierra Nevada Memorial-Miners Hospital
- Sierra Nevada Neuropsychology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.