PREMIERCARE ANESTHESIA FOUNTAIN VALLEY INC


Address: 17100 Euclid St., Fountain Valley, CA 97208
Phone: 7149667200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology Allopathic & Osteopathic Physicians

Office Location

Street Address 17100 EUCLID ST.
City FOUNTAIN VALLEY
State CA
Zip Code 97208

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City FOUNTAIN VALLEY
Zip Code 97208

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Dataset Information

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.

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