MOUNTAIN ANESTHESIA CARE INC (NPI# 1972570174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972570174 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN ANESTHESIA CARE INC |
| Practice Address |
29101 Hospital Rd Lake Arrowhead CA 92352 |
| Mailing Address |
Po Box 1810 Lake Arrowhead CA 92352 |
| Practice Telephone | 9093363651 |
| Mailing Telephone | 3162813700 |
| Mailing Fax Number | 3162824322 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | MR. JOHN ADOLF WILD (CEO MOUNTAIN ANESTHESIA CARE INC) |
| Authorized Official Telephone | 9093363651 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
29101 HOSPITAL RD |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316297 | John Clarke Hankey | Emergency Medicine | 29101 Hospital Rd, Emergency Medicine Mountain Community Hospital, Lake Arrowhead, CA 92352-9706 | 2005-09-14 |
| 1225669005 | Sean K Benggon | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2020-01-30 |
| 1962047688 | Camille Evon Fuller | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2019-11-18 |
| 1174024244 | Danielle Summer Witt | Dental Hygienist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2018-02-23 |
| 1962874594 | Darren Ream | Physical Therapist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2015-10-22 |
| 1639598758 | Elite Hospitalist Medical Group, Inc. | Internal Medicine | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2014-04-16 |
| 1861828279 | Ara Tobar | Dental Hygienist | 29101 Hospital Rd, Lake Arrowhead, CA 92352-9706 | 2013-09-17 |
| 1326314048 | Mountains Comminity Hospital | General Acute Care Hospital | 29101 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2012-03-27 |
| 1326259284 | San Bernardino Mountains Community Hospital | Long Term Care Hospital | 29101 Hospital Rd, Lake Arrowhead, CA 92352 | 2007-05-24 |
| 1770708471 | Virginia (ginny) Dern Dunn | Physical Therapist | 29101 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942279203 | Ann Cassel Cairns | Nurse Anesthetist, Certified Registered | 29101 Hospital Road, Lake Arrowhead, CA 92352 | 2006-03-17 |
| 1376506857 | Erika Brigitte Herrmann | Nurse Anesthetist, Certified Registered | 29099 Hospital Rd, #200, Lake Arrowhead, CA 92352 | 2006-04-07 |
| 1427017029 | Kwangja Lee Hong | Nurse Anesthetist, Certified Registered | 29101 Hospital Road, Lake Arrowhead, CA 92352 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687395 | Anesthesia First, Inc | Nurse Anesthetist, Certified Registered | 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 | 2020-10-23 |
| 1659970580 | Twilight Nursing Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 1247 W Bloomwood Rd, Rancho Palos Verdes, CA 90275-1937 | 2020-10-21 |
| 1881201432 | Edc Anesthesia Nursing PC | Nurse Anesthetist, Certified Registered | 72301 Country Club Drive, Suite 101, Rancho Mirage, CA 92270-8007 | 2020-09-28 |
| 1720697501 | Elizabeth Diane Doty | Nurse Anesthetist, Certified Registered | 235 N Conejo School Rd Apt 116, Thousand Oaks, CA 91362-2676 | 2020-07-28 |
| 1447868013 | Matthew Shirts | Nurse Anesthetist, Certified Registered | 6713 E Princeton Ave, Fresno, CA 93727-1441 | 2020-07-20 |
| 1730797705 | Ryan James Tobin | Nurse Anesthetist, Certified Registered | 1786 El Paso Ave, Clovis, CA 93611-6601 | 2020-07-16 |
| 1922626167 | Ileana Lopez | Nurse Anesthetist, Certified Registered | 388 E Ocean Blvd Unit 702, Long Beach, CA 90802-5264 | 2020-07-13 |
| 1154946085 | Brianna Koty | Nurse Anesthetist, Certified Registered | 1611 Greenwood Ave, Torrance, CA 90503-6134 | 2020-06-16 |
| 1962025973 | Franesei Crna A Nursing Corporation Inc | Nurse Anesthetist, Certified Registered | 2601 W Alameda Ave Ste 312, Burbank, CA 91505-4812 | 2020-05-26 |
| 1144858028 | Dennis Casanova Colon | Nurse Anesthetist, Certified Registered | 547 E Weldon Ave, Fresno, CA 93704-6031 | 2020-03-27 |
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| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
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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.