Clarity Anesthesia Medical Group
Organization Active NPI Anesthesiology Physician · Foothill Ranch, CA
NPI 1922533918 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1922533918
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- A114614 (CA)
- Legal business name
- CLARITY ANESTHESIA MEDICAL GROUP
- Practice address
- 27462 Portola Pkwy
Suite 101
Foothill Ranch, CA 92610-2838 - Phone
- (949) 900-1340
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. David Gutierrez, M.D.
- Title
- President
- Phone
- (949) 702-2142
Practitioners 11
-
Achit B Patel, DO
-
Thaddeus O'Barr IV, M.D.
-
Natalie Chen, M.D.
-
Dragos Diaconescu, M.D.
-
Veronica A Lam, MD
-
Gary Kaman Lau, M.D.
-
Amy Theresa Thomas, D.O.
-
Tanzhen J. Wu, M.D.
-
Shaizeel Praptani, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170517003019 | CA | Part B Supplier - Clinic/Group Practice | 6709153984 |
Receives reassigned benefits from 11 practitioners Practice locations: Foothill Ranch, CA; Newport Beach, CA |
National Provider Directory
Locations
15500 Sand Canyon Ave
Ste 110
Irvine, CA 92618
Phone (949) 726-0600
3747 Worsham Ave
Long Beach, CA 90808
Phone (562) 430-4513
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | A114614 | CA | Yes |
Addresses
Primary practice location
27462 Portola Pkwy
Suite 101
Foothill Ranch, CA 92610-2838
Mailing address
PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050
Other providers in Foothill Ranch, CA
- Anna Moshelle Carlson
- Phillip Nelson Cecchini
- Douglas Chang
- Chia Ying Chao
- James Ross Cueto Chuatoco
- Amy Cole
- Michael Richard Cowdrey
- Sara Cummo
- Hootan M Daneshmand
- Huy Dang
All providers in Foothill Ranch, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.