Intrepid Anesthesia Associates Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G062996 Issued in CA

Legal business name

INTREPID ANESTHESIA ASSOCIATES CORPORATION

Practice address

427 W. Pueblo St.
Santa Barbara, CA 91306

Phone

(310) 903-1980

Fax

(818) 880-9570

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Mark Hestrin, M.D.NPI 1417125600

Title

President

Phone

(310) 903-1980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Hestrin, M.D.

  • Anesthesiology Physician
  • Agoura Hills, CA
  • NPI 1417125600

  DC, Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1912223983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261070",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914261070",
            "telephone_number": "310-903-1980",
            "fax_number": "818-880-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W. PUEBLO ST.",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "310-903-1980",
            "fax_number": "818-880-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID ANESTHESIA ASSOCIATES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "HESTRIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-903-1980",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G062996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Laboratories Advisory Group, Inc. (Ila)
• Integrative Medicine Center of Santa Barbara Inc
• Maida Interiano
• Internal Medicine Associates of Santa Barbara a Medical Group
• Internist Physician Services
• Investore, Inc
• Investore, Inc
• Jasper S Ip, MD
• Asneha Shireen Iqbal, MD
• Sandra Ivonne Iraheta, CPM, LM

• Anesthesiology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.