OrganizationActive
Radiance Anesthesia Group Inc.
NPI 1790038883 · Anesthesiology Physician · Sherman Oaks, CA
Provider details
- NPI number
- 1790038883
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Nicolas, Administrator(818) 565-9802
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5170 Sepulveda Blvd
Suite 220
Sherman Oaks, CA 91403-1171
Phone: (818) 565-9802
Fax: (818) 995-8703
Street-level locationGet directions
Mailing address
5170 Sepulveda Blvd
Sherman Oaks, CA 91403-1171
Registry dates
- Enumerated
- 2012-10-26
- Last updated
- 2016-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.