Active NPI
Wilshire Anesthesia Associates LLC
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
National Provider Identifier
1972040020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- WILSHIRE ANESTHESIA ASSOCIATES LLC
- Practice address
- 500 S Virgil Ave
Suite 301
Los Angeles, CA 90020-1446 - Phone
- (213) 738-6090
- NPI assigned
- Jan 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale W Polley
- Title
- Director
- Phone
- (615) 345-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
500 S Virgil Ave
Suite 301
Los Angeles, CA 90020-1446
Mailing address
401 Commerce St
Suite 600
Nashville, TN 37219-2446
Phone (615) 345-6900
National Provider Directory
National Provider Directory- Tax ID family
- Wilshire Anesthesia Associates LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
- NPI 1437696580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485475200000",
"number": "1972040020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 COMMERCE ST",
"address_2": "SUITE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192446",
"telephone_number": "615-345-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S VIRGIL AVE",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201446",
"telephone_number": "213-738-6090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSHIRE ANESTHESIA ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-27",
"last_updated": "2017-01-27",
"status": "A",
"authorized_official_last_name": "POLLEY",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-345-6900"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Stuart L. Willson, M.D.
- Courtney M Wilmot, NURSE PRACTITIONER
- Wilshire Aesthetics Medical Associates Surgery Center, Inc.
- Wilshire Aesthetics Medical Associates, Inc.
- Wilshire Anesthesia Associates LLC
- Wilshire Cardiology Group, a Professional Corporation
- Wilshire Center for Ambulatory Surgery, Inc.
- Wilshire Center for Cosmetic Surgery, a Professional Corporation
- Wilshire Center for Dermatology, a Professional Corporation
- Wilshire Co Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.