NPIMap

Organization Active NPI

Sky Anesthesia Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Hawthorne, CA
National Provider Identifier
1962050401
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SKY ANESTHESIA INC.
Practice address
4477 W 118TH St Ste 501
Hawthorne, CA 90250-2260
Phone
(213) 465-0994
NPI assigned
Aug 28, 2019
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Reekesh Patel, MDNPI 1043446982
Title
President
Phone
(213) 465-0994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

4477 W 118TH St Ste 501
Hawthorne, CA 90250-2260

Mailing address

PO Box 252273
Los Angeles, CA 90025-8979
Phone (213) 465-0994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191207000211 CA Part B Supplier - Clinic/Group Practice 8426481342 Receives reassigned benefits from 11 practitioners
Practice locations: Hawthorne, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1962050401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252273",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258979",
            "telephone_number": "213-465-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 501",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502260",
            "telephone_number": "213-465-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY ANESTHESIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REEKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-465-0994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.