Individual provider Active NPI

Andrew J Irizarry, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Tacoma, WA
National Provider Identifier
1003380429
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001692 Issued in CA
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

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP61080718 WA
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 8628974904, 158 clinicians

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 Hospital, Weaverville, CA, CCN 051315
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95035042CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Ca Endoscopy ASC LP Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 25, 2022 Accepting new patients
Comfort Anesthesia Associates Inc Single Specialty CurrentSince Apr 30, 2024 Accepting new patients
Temecula Ca United Surgery Center LP Anesthesiology CurrentSince Jan 9, 2025 Accepting new patients
Credence Anesthesia Corporation Single Specialty CurrentSince Mar 11, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 25, 2022 Accepting new patients
East Liverpool Anesthesia Professionals Single Specialty CurrentSince Sep 26, 2024 Accepting new patients
Concierge Anesthesia Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Mountain Communities Healthcare District Single Specialty CurrentSince Nov 9, 2025 Accepting new patients
Ai Nursing Anesthesiology Inc Single Specialty CurrentSince Dec 14, 2024 Accepting new patients
Mountain Communities Healthcare District Single Specialty CurrentSince Nov 9, 2025 Accepting new patients
Mountain Communities Healthcare District CurrentSince Nov 9, 2025 Accepting new patients
United Medical Doctors Single Specialty CurrentSince Jan 16, 2025 Accepting new patients
United Medical Doctors Single Specialty CurrentSince Jan 16, 2025 Accepting new patients
Southern California Permanente Medical Group Single Specialty Current Accepting new patients
Temecula Ca Endoscopy ASC LP Single Specialty CurrentSince Jan 9, 2025 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 PastSince Jun 18, 2023 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

  • FHIR API: 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.

View all 20

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.