Pacwest Nursing Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2558 Issued in CA

Legal business name

PACWEST NURSING INC

Practice address

4011 Eagle Flight Dr
Simi Valley, CA 93065-0224

Phone

(805) 404-6761

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Mark J Hunter, CRNA

Title

President

Phone

(805) 404-6761

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1952674582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 EAGLE FLIGHT DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650224",
            "telephone_number": "805-404-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 EAGLE FLIGHT DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650224",
            "telephone_number": "805-404-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACWEST NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-404-6761",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.