Active NPI
Andrew J Irizarry, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95001692
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-0001 - Phone
- (330) 509-3934
- NPI assigned
- Jan 18, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP61080718 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 95001692 | CA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0021021 | OH |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Mailing address
3116 Harts Lake Rd S
Roy, WA 98580-9105
Phone (330) 509-3934
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221021002674 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284000845 | Reassigns benefits to 10 organizations |
| I20241231001730 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284000845 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bel-Park Anesthesia Associates, Inc.
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3658
7485 Mission Valley Rd
Suite 106
San Diego, CA 92108-4422
Phone (619) 291-3737
Hospital & facility affiliations
- Trinity Hospital
- MH St Elizabeth Youngstown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95035042 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Ca Endoscopy ASC LP | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Comfort Anesthesia Associates Inc | Single Specialty | Current | Accepting new patients |
| Temecula Ca United Surgery Center LP | Anesthesiology | Current | Accepting new patients |
| Credence Anesthesia Corporation | Single Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| East Liverpool Anesthesia Professionals | Single Specialty | Current | Accepting new patients |
| Concierge Anesthesia | Single Specialty | Current | Accepting new patients |
| Mountain Communities Healthcare District | Single Specialty | Current | Accepting new patients |
| Ai Nursing Anesthesiology Inc | Single Specialty | Current | Accepting new patients |
| Mountain Communities Healthcare District | Single Specialty | Current | Accepting new patients |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| United Medical Doctors | Single Specialty | Current | Accepting new patients |
| United Medical Doctors | Single Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Single Specialty | Current | Accepting new patients |
| Temecula Ca Endoscopy ASC LP | Single Specialty | Current | Accepting new patients |
| Temecula Ca United Surgery Center, LP | Current | Accepting new patients | |
| West Coast Surgery Inc | Single Specialty | Past | Accepting new patients |
| Heart of San Diego Surgical Center LLC | Past | Accepting new patients |
Locations (25 of 32)
1000 S Anaheim Blvd
Ste 300
Anaheim, CA 92805
Phone (714) 221-2196
2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500
835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
12017 Paramount Blvd
Downey, CA 90242
Phone (562) 381-2494
488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500
25405 Hancock Ave
Murrieta, CA 92562
Phone (909) 600-4848
25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805
25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670
40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293
2000 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 643-3332
36915 Cook St
Ste 103B
Palm Desert, CA 92211
Phone (760) 340-1003
815 Auto Center Dr
Palmdale, CA 93551
Phone (661) 206-6262
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525
3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
Organizations & group practices 20
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.
-
- Certified Registered Nurse Anesthetist
- San Diego, CA
- NPI 1043020522
CA, Single Specialty
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1043466550
CA, Single Specialty
-
- Certified Registered Nurse Anesthetist
- Oxnard, CA
- NPI 1881381002
CA, Single Specialty
-
- Anesthesiology Physician
- East Liverpool, OH
- NPI 1790504413
OH, Single Specialty
-
- Medicare Defined Swing Bed Hospital Unit
- Weaverville, CA
- NPI 1407027568
CA, Single Specialty
-
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
CA, Single Specialty
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
CA, Single Specialty
-
- Anesthesiology Physician
- Murrieta, CA
- NPI 1285863696
CA, Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Temecula, CA
- NPI 1275951196
CA
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1003380429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 HARTS LAKE RD S",
"city": "ROY",
"state": "WA",
"postal_code": "985809105",
"telephone_number": "330-509-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "330-509-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "ANDREW",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DNP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-18",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61080718",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95001692",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0021021",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "C-CDA",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.