Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Provident Anesthesia Medical Group Inc

Organization Anesthesiology Physician · NPI 1063554798

Provident Anesthesia Medical Group Inc is an Anesthesiology Physician in West Hills, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7300 Medical Ctr
West Hills, CA 91307-1902
Phone: (818) 550-0900
Fax: (505) 293-1524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G46241 (CA)

Record details

NPI number1063554798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official A Joseph Herbert — President · (818) 550-0900
NPI enumeratedFebruary 12, 2007
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing addressPo Box 5486, Orange, CA 92863-5486

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