PREMIERCARE ANESTHESIA FOUNTAIN VALLEY INC (NPI# 1831536531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831536531 |
Entity Type | Organization |
Organization Name | PREMIERCARE ANESTHESIA FOUNTAIN VALLEY INC |
Practice Address |
17100 Euclid St. Fountain Valley CA 97208 |
Mailing Address |
Po Box 8457 Pasadena CA 91109-9110 |
Practice Telephone | 7149667200 |
Enumeration Date | 2013-06-04 |
Last Update Date | 2013-12-12 |
Authorized Official Name | KELVIN A NGUYEN (AUTHORIZED REPRESENTATIVE) |
Authorized Official Telephone | 9498562356 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
Street Address |
17100 EUCLID ST. |
City | FOUNTAIN VALLEY |
State | CA |
Zip Code | 97208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487658936 | Zacharia Reda | Pediatrics | 17100 Euclid St., Picu, Fountain Valley, CA 92708 | 2005-06-10 |
1699779181 | William G. Perkins | Pediatrics | 17100 Euclid St., Picu, Fountain Valley, CA 92708 | 2005-06-13 |
1922002468 | Kenneth Kim | Pediatrics | 17100 Euclid St., Picu, Fountain Valley, CA 92708 | 2005-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194037283 | De Paul Treatment Centers | Substance Abuse Rehabilitation Facility | 1312 Sw Washington St., Portland, OR 97208 | 2010-07-06 |
1063743847 | Jacqueline Mendro | Counselor | 1312 Sw Washington, Portland, OR 97208 | 2010-01-19 |
1205960432 | Sean Donahue | Counselor | 1312 Sw Washington Street, Portland, OR 97208 | 2007-03-16 |
1700916509 | Franklin Owen Black | Otolaryngology | 1225 Ne 2nd Ave, Suite 305, Portland, OR 97208 | 2007-03-07 |
1548602774 | William Thomas Ryan Meristem | Counselor | De Paul Treatment Centers, 1312 Sw Washington, Portland, OR 97208-3007 | 2013-07-30 |
1871727370 | Andrew Gadbois | Counselor | 4310 Ne Killingsworth St., Portland, OR 97208-3007 | 2009-05-12 |
1477912780 | Dorothy Stefanello | Peer Specialist | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2016-02-15 |
1538531611 | Caitlin Lerch | Counselor | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2015-10-28 |
1396186607 | Richard Ivan Vaughan | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97208-3007 | 2013-07-15 |
1932449600 | Jason Charles Zontanos | Counselor | 1312 Sw Washington St, Portland, OR 97208-3007 | 2013-02-18 |
Find all providers in zip 97208 |
Taxonomy Code | 207L00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
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 |
---|---|---|---|---|
1295156271 | Southland Medical Group,llc | Anesthesiology | 17870 Newhope St., Suite 104-276, Fountain Valley, CA 92708 | 2013-12-18 |
1548696503 | Healthwest Solutions | Anesthesiology | 17870 Newhope St Ste 104-276, Fountain Valley, CA 92708-5439 | 2013-09-23 |
1396908059 | James Pugeda | Anesthesiology | 18111 Brookhurst St Ste 3200, Fountain Valley, CA 92708-6728 | 2008-07-02 |
1780633909 | Young H Kwon | Anesthesiology | 11190 Warner Ave Ste 212, Fountain Valley, CA 92708-4045 | 2006-05-06 |
1689641482 | Fazeela Ferouz | Anesthesiology | 10760 Warner Ave Ste 102, Fountain Valley, CA 92708-3845 | 2006-03-01 |
1649242017 | Albert S Lee | Anesthesiology | 10900 Warner Ave Ste 101a, Fountain Valley, CA 92708-3846 | 2006-02-01 |
1649272568 | Son The Tran | Anesthesiology | 9920 Talbert Ave, Fountain Valley, CA 92708-5153 | 2005-08-11 |
1427665819 | Esther Komanapalli Md Inc | Anesthesiology | 18111 Brookhurst St Ste 3200, Fountain Valley, CA 92708-6728 | 2020-09-29 |
1528673787 | David Nguyen A Professional Medical Corporation | Anesthesiology | 18111 Brookhurst St Ste 3200, Fountain Valley, CA 92708-6728 | 2020-09-14 |
1629680665 | Andy Le Md Inc | Anesthesiology | 18111 Brookhurst St Ste 3200, Fountain Valley, CA 92708-6728 | 2020-08-20 |
Find all providers in FOUNTAIN VALLEY |
City | FOUNTAIN VALLEY |
Zip Code | 97208 |
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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.