Khong Anesthesia, a Professional Nursing Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KHONG ANESTHESIA, A PROFESSIONAL NURSING CORPORATION

Practice address

11160 Warner Ave Ste 411
Fountain Valley, CA 92708-4056

Phone

(714) 513-1399

NPI assigned

May 2, 2024

Last updated

May 2, 2024By 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

Mario KhongNPI 1629759857

Title

Crna

Phone

(714) 589-4507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Mario Khong, DNP

  • Certified Registered Nurse Anesthetist
  • Redlands, CA
  • NPI 1629759857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1962259440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CLEMENTINE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 411",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084056",
            "telephone_number": "714-513-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHONG ANESTHESIA, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "KHONG",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "714-589-4507"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Khan, DO
• Zafar Saleem Khan, M.D.
• Khanh Le MD Inc
• Brandon B Khaw, MD
• Christina Marie Khodavandi, RN
• Tommy Khuong
• Penelope Kibler
• Kidney Care Associates Inc.
• Kieu Orthodontics
• Calvin Kieu

• Anesthesiology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.