NPIMap

Organization Active NPI

Folsom Anesthesia LP

  • Certified Registered Nurse Anesthetist
  • Folsom, CA
National Provider Identifier
1043700941
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
FOLSOM ANESTHESIA LP
Practice address
1671 Creekside Dr Ste 100
Folsom, CA 95630-3890
Phone
(615) 922-6102
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Alina Logan
Title
VP
Phone
(615) 240-3740

Specialties & licenses 1

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

Addresses

Primary practice location

1671 Creekside Dr Ste 100
Folsom, CA 95630-3890

Mailing address

1A Burton Hills Blvd
Nashville, TN 37215-6187
Phone (615) 922-6102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181005002852 CA Part B Supplier - Clinic/Group Practice 4981956729 Receives reassigned benefits from 45 practitioners
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1043700941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-922-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 CREEKSIDE DR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303890",
            "telephone_number": "615-922-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM ANESTHESIA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-240-3740"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.