NPIMap

Organization Active NPI

Mountain Anesthesia Care Inc

  • Certified Registered Nurse Anesthetist
  • Lake Arrowhead, CA
National Provider Identifier
1972570174
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MOUNTAIN ANESTHESIA CARE INC
Practice address
29101 Hospital Rd
Lake Arrowhead, CA 92352
Phone
(909) 336-3651
NPI assigned
Mar 7, 2006
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Mr. John Adolf Wild, CRNA
Title
Ceo Mountain Anesthesia Care Inc
Phone
(909) 336-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

29101 Hospital Rd
Lake Arrowhead, CA 92352

Mailing address

PO Box 1810
Lake Arrowhead, CA 92352
Phone (316) 281-3700

National Provider Directory

National Provider Directory

Locations

229 E Beverly Blvd
#C
Montebello, CA 90640
Phone (323) 728-7998

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1972570174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "316-281-3700",
            "fax_number": "316-282-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29101 HOSPITAL RD",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "909-336-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ANESTHESIA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ADOLF",
        "authorized_official_title_or_position": "CEO MOUNTAIN ANESTHESIA CARE INC",
        "authorized_official_telephone_number": "909-336-3651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Arrowhead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.