Organization Active NPI

Sonoran Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Newport Beach, CA
National Provider Identifier
1992275309
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SONORAN ANESTHESIA, LLC
Practice address
455 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4254
Phone
(928) 600-1619
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Joshua Bush, CRNA
Title
President
Phone
(928) 600-1619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

455 Old Newport Blvd Ste 100
Newport Beach, CA 92663-4254

Mailing address

370 E 15TH St
Costa Mesa, CA 92627-3761
Phone (928) 600-1619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1992275309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 15TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273761",
            "telephone_number": "928-600-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634254",
            "telephone_number": "928-600-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-600-1619",
        "authorized_official_credential": "CRNA"
    },
    "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 Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.