Healthcare Provider Details
I. General information
NPI: 1629998364
Provider Name (Legal Business Name): APEX ANESTHESIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3410 LA SIERRA AVE STE F510
RIVERSIDE CA
92503-5270
US
IV. Provider business mailing address
3410 LA SIERRA AVE STE F510
RIVERSIDE CA
92503-5270
US
V. Phone/Fax
- Phone: 909-227-5139
- Fax: 909-227-5139
- Phone: 909-227-5139
- Fax: 909-227-5139
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUNNY
JASON
SIRCAR
Title or Position: CEO
Credential: CRNA
Phone: 909-227-5139