Omega Anesthesia Group, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

95000039 Issued in CA

Legal business name

OMEGA ANESTHESIA GROUP, INC

Practice address

5924 Stoneridge Dr Ste 205
Pleasanton, CA 94588-5400

Phone

(925) 469-9120

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Navin Mallavaram

Title

President

Phone

(925) 469-9120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1982021390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 205",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 205",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-469-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA ANESTHESIA GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "MALLAVARAM",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-469-9120"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "95000039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Olsen
• Kali Marie Olsen, MS
• Kimberly Alcalde Olson, M.A.
• Lyda Forough Omar
• Iqbal Inayat Omarali, M.D.
• Zackey A Omer
• Linda Olubukola Omolafe
• Najee Oneal
• Onestop Aesthetic Travel and Wellness Center Inc
• Onestop Medical Center

• Anesthesiology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.