Landmark Anesthesia Medical Group Prime
NPI 1801430467 · Anesthesiology Physician · Victorville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1801430467
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hanh Nguyen-Clark, President(714) 503-0195
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Additional practice locations (5)
- 5451 Walnut AveChino, CA 91710-2609Phone: (909) 464-8600
- 16237 Ventura BlvdEncino, CA 91436-2201Phone: (818) 995-5000
- 5000 San Bernardino StMontclair, CA 91763-2326Phone: (909) 625-5411
- 1350 W Covina BlvdSan Dimas, CA 91773-3245Phone: (909) 599-6811
- 4929 Van Nuys BlvdSherman Oaks, CA 91403-1702Phone: (818) 981-7111
Registry dates
- Enumerated
- 2019-11-06
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.