NPIMap

Organization Active NPI

Mason Anesthesia

  • Certified Registered Nurse Anesthetist
  • Long Beach, CA
National Provider Identifier
1962901256
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000611 Issued in CA
Legal business name
MASON ANESTHESIA
Practice address
3638 E Ocean Blvd Apt 1
Long Beach, CA 90803-2753
Phone
(626) 340-3354
Fax
(626) 340-3354
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Jacob Edward Mason, CRNANPI 1811344369
Title
Owner
Phone
(626) 340-3354

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 95000611 CA Primary

Addresses

Primary practice location

3638 E Ocean Blvd Apt 1
Long Beach, CA 90803-2753

Mailing address

3638 E Ocean Blvd Apt 1
Long Beach, CA 90803-2753
Phone (626) 340-3354

National Provider Directory

National Provider Directory
Tax ID family
Mason Anesthesia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1962901256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 E OCEAN BLVD APT 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032753",
            "telephone_number": "626-340-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 E OCEAN BLVD APT 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032753",
            "telephone_number": "626-340-3354",
            "fax_number": "626-340-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-340-3354",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.