Organization Active NPI

American Ambulatory Anesthesia Associates

  • Anesthesiology Physician
  • Riverside, CA
National Provider Identifier
1952030124
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AMERICAN AMBULATORY ANESTHESIA ASSOCIATES
Practice address
4500 Brockton Ave Ste 105
Riverside, CA 92501-4006
Phone
(951) 784-4088
NPI assigned
Jun 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Robert Hardesty, MD
Title
Ceo
Phone
(951) 784-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4500 Brockton Ave Ste 105
Riverside, CA 92501-4006

Mailing address

4500 Brockton Ave Ste 105
Riverside, CA 92501-4006
Phone (951) 784-4088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1952030124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-784-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-784-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN AMBULATORY ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-784-4088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.