Individual provider Active NPI

Aumnard Saiseubyat, CRNA

  • Certified Registered Nurse Anesthetist
  • Stockton, CA
National Provider Identifier
1083973499
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4268 Issued in CA
Practice address
2823 Fresno St.
Stockton, CA 93721-1324
Phone
(559) 459-3965
Fax
(559) 498-8182
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 625335 CA
Certified Registered Nurse Anesthetist 367500000X 4268 CA Primary

Addresses

Primary practice location

2823 Fresno St.
Stockton, CA 93721-1324

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121204000443 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901058650 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of FresnoGroup PAC ID 8527967082, 64 clinicians
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians
Omni Anesthesia Associates IncGroup PAC ID 4385638303, 8 clinicians
Nathan Adams Nursing Anesthesia CorporationGroup PAC ID 7618279613, 5 clinicians

Practice addresses (Care Compare)

1360 E Spruce Ave
Suite 101a
Fresno, CA 93720-3378
Phone (559) 437-5645

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

2365 E Fir Ave
Fresno, CA 93720-8016
Phone (559) 797-9100

7405 N Fresno St
Fresno, CA 93720-2457
Phone (559) 438-8400

Hospital & facility affiliations

  • Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4268CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Nurse Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2023 Accepting new patients
Barnes Dental Corporation Inc CurrentSince Oct 17, 2020 Accepting new patients
Central California Anesthesiology Solutions Nurse Anesthetist, Certified Registered CurrentSince Apr 17, 2020 Accepting new patients
Nathan Adams Nursing Anesthesia Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2016 Accepting new patients
Community Foundation Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Excelle Anesthesia Services, Inc. CurrentSince Jun 14, 2023 Accepting new patients
Omni Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 22, 2021 Accepting new patients

Locations

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2365 E Fir Ave
Fresno, CA 93720
Phone (559) 797-9000

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

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

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

7417 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 437-5645

7405 N Fresno St
Fresno, CA 93720
Phone (559) 438-8400

445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000

1395 W Lacey Blvd
Hanford, CA 93230
Phone (559) 585-3937

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

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

820 S Akers St
Ste 120
Visalia, CA 93277
Phone (559) 625-9601

112 N Akers St
Ste B
Visalia, CA 93291
Phone (559) 733-4372

2626 S Mooney Blvd
Ste C
Visalia, CA 93277
Phone (559) 635-0206

2830 W Main St
Visalia, CA 93291
Phone (559) 636-1000

5021 W Noble Ave
Visalia, CA 93277
Phone (559) 625-2020

2828 W Main St
Visalia, CA 93291
Phone (559) 734-5640

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

Organizations & group practices 9

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 2

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1083973499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST.",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-3965",
            "fax_number": "559-498-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAISEUBYAT",
        "first_name": "AUMNARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "625335",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.