Active NPI
Austin Amasowomwan, DNP
- Registered Nurse
- Sacramento, CA
National Provider Identifier
1003152109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 823194
- Practice address
- PO Box 231185
Sacramento, CA 95823-0403 - Phone
- (916) 320-7699
- NPI assigned
- Dec 17, 2012
- Reactivated
- Nov 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002682 | CA | |
| Registered Nurse | 163W00000X | 823194 | CA | Primary |
Addresses
Primary practice location
PO Box 231185
Sacramento, CA 95823-0403
Mailing address
PO Box 231185
Sacramento, CA 95823-0403
Phone (916) 320-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000
Hospital & facility affiliations
- Kaiser Foundation Hosp So Sacramento
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 823194 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
Locations
6600 Bruceville Rd
Sacramento, CA 95823
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1841373800
Multi-Specialty
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1528138088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1003152109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231185",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958230403",
"telephone_number": "916-320-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 231185",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958230403",
"telephone_number": "916-320-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMASOWOMWAN",
"first_name": "AUSTIN",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-17",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"deactivation_date": "2017-11-22",
"reactivation_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002682",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "823194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.