Individual provider Active NPI

Lewis Lindley Dewitt, CRNA

  • Certified Registered Nurse Anesthetist
  • Sacramento, CA
National Provider Identifier
1033264395
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3095 Issued in CA
Practice address
2025 Morse Ave
Sacramento, CA 95825-2115
Phone
(916) 973-7696
NPI assigned
Jan 24, 2007
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3095 CA Primary

Addresses

Primary practice location

2025 Morse Ave
Sacramento, CA 95825-2115

Mailing address

2801 Mojave Dr
West Sacramento, CA 95691-6123
Phone (916) 617-2801

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601001077 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496737835 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians

Practice addresses (Care Compare)

1386 Lead Hill Blvd
Suite 130
Roseville, CA 95661-2936
Phone (916) 527-8921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3095CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sda Services of Ca CurrentSince Dec 6, 2025 Accepting new patients
Green Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 17, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 11, 2015 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 11, 2015 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Escnc LLC CurrentSince Dec 6, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 17, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients

Locations

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400

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

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

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

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

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

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1386 Lead Hill Blvd
Ste 130
Roseville, CA 95661
Phone (916) 527-8921

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

2025 Morse Ave
Sacramento, CA 95825

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

8011 Don Ave
Stockton, CA 95209
Phone (209) 955-3001

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1033264395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MOJAVE DR",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956916123",
            "telephone_number": "916-617-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252115",
            "telephone_number": "916-973-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "LEWIS",
        "middle_name": "LINDLEY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2025 Morse Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958252115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 3, 2022; 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.