WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION (NPI# 1336418862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336418862 |
| Entity Type | Organization |
| Organization Name | WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION |
| Practice Address |
720 Paularino Ave Costa Mesa CA 92626-2940 |
| Mailing Address |
Po Box 3098 Torrance CA 90510-3098 |
| Practice Telephone | 7146414856 |
| Mailing Telephone | 3107923914 |
| Mailing Fax Number | 8558984055 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | DR. RAMIN AKHAVAN (CEO) |
| Authorized Official Telephone | 8043069494 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A100615 | CA | Allopathic & Osteopathic Physicians |
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
720 PAULARINO AVE |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194802140 | Nasrin Farbakhsh | Obstetrics & Gynecology | 720 Paularino Ave, Suite 240, Costa Mesa, CA 92626-2940 | 2006-11-01 |
| 1578889762 | Howard M Hack Md PC | Specialist | 720 Paularino Ave, Ste. 200, Costa Mesa, CA 92626-2940 | 2010-04-13 |
| 1194993352 | Newport Care, Inc. | Specialist | 720 Paularino Ave, 200, Costa Mesa, CA 92626-2940 | 2008-02-11 |
| 1538349162 | Advanced Surgical Partners, Inc. | Clinic/Center | 720 Paularino Ave, Suite 100, Costa Mesa, CA 92626-2940 | 2007-11-12 |
| 1144424326 | Nga Don | Chiropractor | 720 Paularino Ave, Suite 200, Costa Mesa, CA 92626-2940 | 2007-06-12 |
| 1750402574 | Genetic Institute of Anti Aging | Medical Genetics, Ph.D. Medical Genetics | 720 Paularino Ave, Suite 100, Costa Mesa, CA 92626-2940 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851899876 | Dennis Thomas Mangano | Anesthesiology | 30 Genevra Rd, Hillsborough, CA 94010-6423 | 2018-01-24 |
| 1801282579 | Sara Sedrak | Anesthesiology | 127 S San Vicente Blvd Ste 3100, Los Angeles, CA 90048-3311 | 2015-04-09 |
| 1649699505 | Christopher Dinh | Anesthesiology | 2500 Grant Rd # 2a302, Mountain View, CA 94040-4302 | 2014-04-08 |
| 1295178002 | Deon We-jin Lau | Anesthesiology | 11234 Anderson St # 2539, Loma Linda, CA 92354 | 2013-04-10 |
| 1417208596 | Pacific Physicians Medical, Inc. | Anesthesiology | 573 Center Dr, Palo Alto, CA 94301-3102 | 2012-09-28 |
| 1225356777 | Dante William Oriente | Anesthesiology | 972 Calle Serra, San Dimas, CA 91773-4332 | 2010-05-07 |
| 1578793279 | Christopher George Choukalas | Anesthesiology | 120 Parker Ave, #102, San Francisco, CA 94118-2673 | 2009-07-16 |
| 1225219025 | Robert Chan Ang | Anesthesiology | 500 E Remington Dr Ste 18, Sunnyvale, CA 94087-2611 | 2007-11-20 |
| 1780746354 | Lundy John Campbell | Anesthesiology | 512 Parnassus Ave, Room S-436, Box 0427, San Francisco, CA 94143-0001 | 2006-12-13 |
| 1407835325 | Mojdeh Talebian | Anesthesiology | 2950 Whipple Ave, #4, Redwood City, CA 94062 | 2006-01-10 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION.
| 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.