Individual provider Active NPI

Sandy Yi Noblett

  • Certified Registered Nurse Anesthetist
  • Sacramento, CA
National Provider Identifier
1003466616
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001260 Issued in CA
Practice address
4001 J St
Sacramento, CA 95819-3600
Phone
(916) 453-4545
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95025619 CA
Certified Registered Nurse Anesthetist 367500000X 95001260 CA Primary

Addresses

Primary practice location

4001 J St
Sacramento, CA 95819-3600

Mailing address

5809 20TH Ave
Sacramento, CA 95820-3107
Phone (916) 525-5522

Other practice location 1

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123003073 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163857996 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95001260CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Green Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Sep 2, 2024 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2020 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 16, 2020 Accepting new patients
Cep America - Anesthesia PC CurrentSince Feb 6, 2020 Accepting new patients
Cep America - Anesthesia PC CurrentSince Feb 6, 2020 Accepting new patients
Anesthesia Services of San Joaquin, P.C. Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2550 Sister Mary Columba Dr
#D
Red Bluff, CA 96080
Phone (530) 529-8000

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

1238 West St
Redding, CA 96001
Phone (530) 241-5499

4 Medical Plaza Dr
Ste 210
Roseville, CA 95661
Phone (916) 773-8780

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2315 Stockton Blvd
Ste 1200
Sacramento, CA 95817
Phone (916) 734-5394

2805 J St
Ste 200
Sacramento, CA 95816
Phone (916) 231-8755

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

1201 Alhambra Blvd
Ste 110
Sacramento, CA 95816
Phone (916) 733-8222

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1003466616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 20TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958203107",
            "telephone_number": "916-525-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193600",
            "telephone_number": "916-453-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172201",
            "country_code": "US",
            "telephone_number": "916-734-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLETT",
        "first_name": "SANDY",
        "middle_name": "YI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95025619",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001260",
            "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 Mar 6, 2020; 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.