Active NPI
Susan Lee Cannon, ARNP
- Certified Registered Nurse Anesthetist
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Solutions
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia VI PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of California, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Central California Anesthesiology Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Madera, CA
- NPI 1861020224
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Watsonville, CA
- NPI 1487221628
CA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- San Ramon, CA
- NPI 1770691859
CA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Redding, CA
- NPI 1013561851
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
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.