JR ANESTHESIA INC


Address: 2327 Journey St, Chula Vista, CA 91915-2440
Phone: 6198231970

JR ANESTHESIA INC (NPI# 1356979215) 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) 1356979215
Entity Type Organization
Organization Name JR ANESTHESIA INC
Practice Address 2327 Journey St
Chula Vista
CA 91915-2440
Mailing Address 8861 Villa La Jolla Dr # 12237
La Jolla
CA 92037-1918
Practice Telephone 6198231970
Mailing Telephone 7602971284
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Authorized Official Name JESSE JAY RIVERA (PRESIDENT)
Authorized Official Telephone 7602971284
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
South Coast Anesthesia Doing Business As Name - Organization

Office Location

Street Address 2327 JOURNEY ST
City CHULA VISTA
State CA
Zip Code 91915-2440

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City CHULA VISTA
Zip Code 91915

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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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