Active NPI
Evelyn Shaw Kawahara, CRNA
- Certified Registered Nurse Anesthetist
- San Francisco, CA
National Provider Identifier
1083795306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN121392
- Practice address
- 2107 Ofarrell St
San Francisco, CA 94115-3419 - Phone
- (415) 922-6667
- Fax
- (415) 922-0136
- NPI assigned
- Oct 17, 2006
- 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 | RN121392 | CA | Primary |
Addresses
Primary practice location
2107 Ofarrell St
San Francisco, CA 94115-3419
Mailing address
1834 Stone Ave
Suite 2B
San Jose, CA 95125-1306
Phone (408) 995-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN1213920 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN121392 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083795306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 STONE AVE",
"address_2": "SUITE 2B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951251306",
"telephone_number": "408-995-0102",
"fax_number": "408-995-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 OFARRELL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153419",
"telephone_number": "415-922-6667",
"fax_number": "415-922-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW KAWAHARA",
"first_name": "EVELYN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "RN121392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN1213920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.