PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP INC (NPI# 1558588871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558588871 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP INC |
| Practice Address |
9300 Valley Childrens Pl Madera CA 93636-8761 |
| Mailing Address |
6235 N Fresno St Suite #103 Fresno CA 93710-5269 |
| Practice Telephone | 5593533000 |
| Mailing Telephone | 5594494350 |
| Mailing Fax Number | 5594494358 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | RANDAL MORTON (TREASURER) |
| Authorized Official Telephone | 5594494350 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207L00000X | Anesthesiology | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ71868Z | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1351 E Spruce Ave, Fresno, CA 937203342 | 5594323303 | |
| 420 34th St, Bakersfield, CA 933012237 | 6613274647 |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| 1912492216 | Ji Yeon Kwon | Registered Nurse | 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | 2018-06-28 |
| Find all providers in zip 93636 | ||||
| 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 |
|---|---|---|---|---|
| 1881640704 | Tariq Nazeer | Anesthesiology | 1250 E. Almond Avenue, Madera, CA 95637-5606 | 2006-05-25 |
| 1275585408 | Joselito L Syfu | Anesthesiology | 1250 E Almond, Madera, CA 93637 | 2006-05-16 |
| 1770902983 | Foram A Parikh | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2014-04-15 |
| 1518305911 | Justin Tsai | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636 | 2013-06-06 |
| 1407292329 | Nourah Mazid | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636 | 2013-05-18 |
| 1477895753 | Josemine Marie Miranda Carey | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2013-03-25 |
| 1184985632 | Minji Cho | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2012-05-31 |
| 1376819581 | Sonya Marie Seshadri | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2012-04-02 |
| 1902192719 | Shannon Granger | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2011-06-21 |
| 1063701324 | Kamyar Bahmanpour | Anesthesiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2011-04-07 |
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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.