Active NPI
Khang DO Anesthesia Inc.
- Certified Registered Nurse Anesthetist
- Modesto, CA
National Provider Identifier
1922649227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- KHANG DO ANESTHESIA INC.
- Practice address
- 609 E Orangeburg Ave BLDG B
Modesto, CA 95350-5512 - Phone
- (209) 956-7725
- NPI assigned
- Oct 8, 2019
- 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
- Khang DO, CRNA
- Title
- Owner
- Phone
- (209) 956-7725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
609 E Orangeburg Ave BLDG B
Modesto, CA 95350-5512
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580774400000",
"number": "1922649227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E ORANGEBURG AVE BLDG B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505512",
"telephone_number": "209-956-7725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHANG DO ANESTHESIA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-08",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "KHANG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-956-7725",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.