Ipcs Anesthesia, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A90876 Issued in CA

Legal business name

IPCS ANESTHESIA, PC

Practice address

6610 Flanders Dr
Suite 100
San Diego, CA 92121-3940

Phone

(858) 457-2888

Fax

(888) 347-0124

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Khang T Nguyen, M.D.NPI 1265590897

Title

Manager

Phone

(858) 457-2888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Khang Thai Nguyen, MD

  • Plastic Surgery Physician
  • Del Mar, CA
  • NPI 1265590897
  Medicare reassignment NPD Authorized official
• Kimberly Malia Sandberg, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
  • NPI 1922075258
  Medicare reassignment NPD

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1922477900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 FLANDERS DR",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213940",
            "telephone_number": "858-457-2888",
            "fax_number": "888-347-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 FLANDERS DR",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213940",
            "telephone_number": "858-457-2888",
            "fax_number": "888-347-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPCS ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-457-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A90876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ioanna Vouloumanou
• Mariko Tomi Iocco
• Mariya Ioffe, ACUPUNCTURIST
• Josephine Isabella Ioime, MA
• Dawn Flosnik Ionescu, M.D.
• Marta Ippolito, M.S. CCC-SLP
• Jason Todd Ipson, MD
• Iqra Medical Transportation LLC
• Ira D Levine MD Inc
• Vicente Jesus Iraguimadoz, M.D./PH.D

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.