Individual provider Active NPI

Judith Woodford, CRNA

  • Certified Registered Nurse Anesthetist
  • Palm Desert, CA
National Provider Identifier
1003855792
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2015 Issued in CA
Practice address
48770 Desert Flower Dr
Palm Desert, CA 92260-6257
Phone
(760) 219-6228
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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 491458 CA
Certified Registered Nurse Anesthetist 367500000X 2015 CA Primary

Addresses

Primary practice location

48770 Desert Flower Dr
Palm Desert, CA 92260-6257

Mailing address

48770 Desert Flower Dr
Palm Desert, CA 92260-6257
Phone (760) 219-6228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
491458CAMDRegistered Nurse
2015CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2018 Accepting new patients
Amsurg Arcadia Anesthesia LP CurrentSince Dec 1, 2013 Accepting new patients
Sheldon Jordan, M.D., Inc. CurrentSince Jun 6, 2018 Accepting new patients
Tower Anesthesia Associates Inc CurrentSince Jun 1, 2019 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
County of Monterey PastSince Jan 1, 1990 Accepting new patients
Zzr00248W PastSince Jan 1, 1990 Accepting new patients
County of Monterey PastSince Jan 1, 1990 Accepting new patients
Gr0076460 PastSince Jan 1, 1990 Accepting new patients
Hsp40248F PastSince Jan 1, 1990 Accepting new patients
Hsc00248W PastSince Jan 1, 1990 Accepting new patients
County of Monterey PastSince Jan 1, 1990 Accepting new patients
County of Monterey Behavioral Health PastSince Jan 1, 1990 Accepting new patients
Natividad Medical Center Rehabilitation PastSince Jan 1, 1990 Accepting new patients
Monterey County Behavioral Health Division PastSince Jan 1, 1990 Accepting new patients

Locations

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

9090 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 421-0066

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

301 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 714-7347

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

207 S Santa Anita St
Ste G16
San Gabriel, CA 91776
Phone (626) 289-2223

15243 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 419-6659

Organizations & group practices 15

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 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1003855792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48770 DESERT FLOWER DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922606257",
            "telephone_number": "760-219-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48770 DESERT FLOWER DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922606257",
            "telephone_number": "760-219-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFORD",
        "first_name": "JUDITH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "491458",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.