NPPES file of Aug 9, 2026

Northeastern Anesthesia PLLC in Sierra Vista, AZ

This organization bills under NPI 1487956504, an organization record issued on Nov 22, 2010 with the primary taxonomy Anesthesiology Physician. Each clinician who works there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1487956504
Legal name
Northeastern Anesthesia PLLC
Entity
Type 2 · organization
Primary taxonomy
Anesthesiology Physician 207L00000X
Practice location
5700 E HIGHWAY 90, Sierra Vista, AZ 85635
Phone
520-263-3835
Mailing address
Los Angeles, CA
Enumerated
Nov 22, 2010
Record updated
Jul 17, 2026
Authorized official
Owner (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

9 clinicians CMS lists with Northeastern Anesthesia in Sierra Vista

  1. Manu Awal, CRNACertified Registered Nurse Anesthetist1265151070
  2. Joseph Bonomolo, MDAnesthesiology Physician1154566651
  3. Kamila Carwile, CRNACertified Registered Nurse Anesthetist1548830474
  4. Rubiyath ChyCertified Registered Nurse Anesthetist1952172132
  5. Mary Cook, CRNACertified Registered Nurse Anesthetist1598495889
  6. Jacob Good, DNP, CRNACertified Registered Nurse Anesthetist1952268617
  7. Steven Kim, MD, PHDAnesthesiology Physician1568450070
  8. Nicholas Pacione, CRNACertified Registered Nurse Anesthetist1740652791
  9. Kenneth Whipple, DOAnesthesiology Physician1922040807

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

Checking an organization

  1. Confirm the business with the Arizona secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 207L00000X Anesthesiology Physician
  • 367500000X Certified Registered Nurse Anesthetist

Common questions

Why is the mailing address in California?

The mailing address in the record (Los Angeles, CA) is where the organization receives mail. Care is given at the practice location in Sierra Vista.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.