Active NPI
Thomas Anthony Lata, CRNA, ACNP
- Certified Registered Nurse Anesthetist
- Red Bluff, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4004
- Practice address
- 2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327 - Phone
- (530) 529-8000
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 546669 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 13664 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 4004 | CA | Primary |
Addresses
Primary practice location
2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Mailing address
371 Barnhart Cir
Sacramento, CA 95835-1526
Phone (916) 607-1085
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of California, San Francisco School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 784-4000
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4004 | CA | MD | Professional Counselor |
| 546669 | CA | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Pulmonary Medicine Associates Medical Group, Inc | Past | Accepting new patients | |
| Deerfoot Internal Medicine | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- https://api.platform.athenahealth.com/22120/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1407880719
-
- Internal Medicine Physician
- Pinson, AL
- NPI 1528122702
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1053610659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 BARNHART CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351526",
"telephone_number": "916-607-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 SISTER MARY COLUMBA DR",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960804327",
"telephone_number": "530-529-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATA",
"first_name": "THOMAS",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "CRNA, ACNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "546669",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "13664",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "4004",
"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": "1600 Eureka Rd",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "95661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.