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Lake Ridge Anesthesia LLC

Anesthesiology Physician in Woodbridge, VA · enumerated 2012 · authorized official Reza Izadi, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558619254

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Ridge Anesthesia LLC
Practice address 12825 Minnieville Road, # 220, Woodbridge, VA, 22192
Fax (301) 829-7694
Enumeration date Aug 28, 2012
Last updated in NPPES Aug 19, 2015

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 0101237760 (VA) Primary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 0101237760 (VA) Secondary

Authorized official

Name Reza Izadi
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lake Ridge Anesthesia LLC located?
The practice location on file with NPPES is in Woodbridge, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-19.