=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851187793
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GENTLE SEDATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2025
-----------------------------------------------------
Last Update Date | 04/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12595 HESPERIA RD STE 100
-----------------------------------------------------
City | VICTORVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92395-5882
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-383-8147
-----------------------------------------------------
Fax | 760-881-3379
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17203 JASMINE ST
-----------------------------------------------------
City | VICTORVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92395-7786
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-383-8147
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ASSOCIATE
-----------------------------------------------------
Name | DR. ARNAB BISWAS
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 949-383-8147
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------