La Jolla Anesthesia Associates LP
NPI 1649717737ActiveOrganization· Nurse Anesthetist, Certified Registered· La Jolla, CA
Nurse Anesthetist, Certified Registered in La Jolla, California, registered in NPPES in January 2017. The authorized official on file is Phillip Clendenin, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649717737 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2017 |
| Last updated in NPPES | Oct 18, 2021 |
| Certified by provider | Oct 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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