Individual provider Active NPI

Susan Lee Cannon, ARNP

  • Certified Registered Nurse Anesthetist
  • Madera, CA
National Provider Identifier
1073906293
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000612 Issued in CA
Practice address
1250 E Almond Ave
Madera, CA 93637-5606
Phone
(941) 587-0554
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 95000612 CA Primary

Addresses

Primary practice location

1250 E Almond Ave
Madera, CA 93637-5606

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (941) 587-0554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125003107 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527387380 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central California Anesthesiology SolutionsGroup PAC ID 7719317213, 21 clinicians

Practice addresses (Care Compare)

1191 E Herndon Ave
Suite 103
Fresno, CA 93720-3164
Phone (916) 292-8938

Hospital & facility affiliations

  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelinc Anesthesia VI PC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2021 Accepting new patients
Premier Anesthesia of California, PC Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2021 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Feb 18, 2024 Accepting new patients
Cep America - Anesthesia PC CurrentSince Nov 1, 2021 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Central California Anesthesiology Solutions Nurse Anesthetist, Certified Registered CurrentSince Dec 21, 2021 Accepting new patients
Cep America - Anesthesia PC CurrentSince Nov 1, 2021 Accepting new patients
Cep America - Anesthesia PC Past Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

576 N Magnolia Ave
Clovis, CA 93611
Phone (559) 242-2767

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1191 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 436-5265

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

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

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

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

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Organizations & group practices 8

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": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1073906293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "941-587-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375606",
            "telephone_number": "941-587-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.