Organization Active NPI

Seaside Nursing Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • La Jolla, CA
National Provider Identifier
1962826685
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4125 Issued in CA
Legal business name
SEASIDE NURSING ANESTHESIA PC
Practice address
935 Genter St
Unit 404
La Jolla, CA 92037-5530
Phone
(858) 337-3179
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Kim Roinestad Harbin, CRNANPI 1558654855
Title
Owner
Phone
(858) 337-3179

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
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4125 CA Primary

Addresses

Primary practice location

935 Genter St
Unit 404
La Jolla, CA 92037-5530

Mailing address

935 Genter St
Unit 404
La Jolla, CA 92037-5530
Phone (858) 337-3179

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1962826685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 GENTER ST",
            "address_2": "UNIT 404",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375530",
            "telephone_number": "858-337-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 GENTER ST",
            "address_2": "UNIT 404",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375530",
            "telephone_number": "858-337-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE NURSING ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "HARBIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "ROINESTAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-337-3179",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.