ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC. (NPI# 1306139910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306139910 |
| Entity Type | Organization |
| Organization Name | ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC. |
| Practice Address |
2776 Pacific Ave Long Beach CA 90806-2613 |
| Mailing Address |
250 N Robertson Blvd Suite 419 Beverly Hills CA 90211-1788 |
| Practice Telephone | 3102050808 |
| Mailing Telephone | 3102050808 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Authorized Official Name | CLARE WAISMANN (MANAGER) |
| Authorized Official Telephone | 3102050808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
32166 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2776 PACIFIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366411217 | Angeline Chang Barnes | Anesthesiology | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2006-03-14 |
| 1972126696 | Yasemin Bulut Balin | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-28 |
| 1578185658 | Jacqueline Jines | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-12 |
| 1891329157 | Cody Tyler Casalegno | Family Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-02-26 |
| 1427688167 | Marlynn Ortiz | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-01-22 |
| 1295380517 | Houman Badrzadeh | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-08-04 |
| 1982258349 | Rajesh Chundu | Internal Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-24 |
| 1982257531 | Chase Bastian | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-23 |
| 1497308100 | Mary Catherine Mora Valdez-guzman | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| 1760035489 | Jakob Francis | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910002 | Physician Anesthesiology Consultants | Anesthesiology | 1600 Rosecrans Ave Fl Center4, Manhattan Beach, CA 90266-3708 | 2020-07-24 |
| 1225300635 | Robert R Kutzner | Anesthesiology | 14591 Newport Ave Ste 100, Tustin, CA 92780-6026 | 2012-01-31 |
| 1275777823 | Johnson First Care Inc | Anesthesiology | 1234 Frussel, #278, Los Angles, CA 90211-3577 | 2009-04-27 |
| 1598903783 | Dr Dorodny Inc | Anesthesiology | 30765 Pacific Coast Hwy, Suite 285, Malibu, CA 90265-3646 | 2009-01-27 |
| 1396958757 | Jack Friedman | Anesthesiology | 2625 W. Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2007-05-08 |
| 1689600041 | Joseph Angelo Cabaret | Anesthesiology | 601 E Daily Dr, Suite 228, Camarillo, CA 93010-5806 | 2006-06-25 |
| 1013954130 | Gregory Alan Smith | Anesthesiology | 5680 N Fresno St Ste 105, Fresno, CA 93710-8331 | 2006-05-31 |
| 1386173698 | Susan T Koo | Anesthesiology | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2017-06-08 |
| 1376071282 | Pacific United Anesthesia and Critical Care Associates | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2017-05-23 |
| 1821533696 | South County Addiction Treatment Services, Inc. | Anesthesiology | 148 W Avenida San Antonio, San Clemente, CA 92672-4354 | 2017-01-03 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.