PG Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PG ANESTHESIA LLC

Practice address

26421 Crown Valley Pkwy Ste 140B
Mission Viejo, CA 92691-8596

Phone

(949) 365-8836

Fax

(949) 365-8837

NPI assigned

Dec 19, 2022

Last updated

Jan 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Om Chaurasia, MDNPI 1528136702

Title

Managing Member

Phone

(949) 365-8836

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: info@pacificgastro.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Om P Chaurasia, MD

  • Gastroenterology Physician
  • Mission Viejo, CA
  • NPI 1528136702
  Authorized official Same address or phone

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1942912258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26421 CROWN VALLEY PKWY STE 140B",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918596",
            "telephone_number": "949-365-8836",
            "fax_number": "949-365-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26421 CROWN VALLEY PKWY STE 140B",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918596",
            "telephone_number": "949-365-8836",
            "fax_number": "949-365-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PG ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "CHAURASIA",
        "authorized_official_first_name": "OM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-365-8836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pacificgastro.com",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct e-mail",
            "address_1": "26421 Crown Valley Pkwy Ste 140B",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926918596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Irene Petty, M.D.
• Stephen Marrs Petty, M.D.
• Monica M Petz
• Mayssa Vanh Peunemany
• Natalie Pevzner, NP, RN
• Anh-Thu L Pham, FNP-C
• Christine Dao Pham, PHARM D
• Cindy Pham
• Dalena Dang Pham
• Duc Quy Pham, MD

• Anesthesiology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.