Individual provider Active NPI

Cathy Tang Sayat

  • Certified Registered Nurse Anesthetist
  • Rancho Cucamonga, CA
National Provider Identifier
1104171065
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4272 Issued in CA
Practice address
11660 Church St
Unit 123
Rancho Cucamonga, CA 91730-8917
Phone
(909) 524-6808
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 4272 CA Primary

Addresses

Primary practice location

11660 Church St
Unit 123
Rancho Cucamonga, CA 91730-8917

Mailing address

11660 Church St
Unit 123
Rancho Cucamonga, CA 91730-8917
Phone (909) 524-6808

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121231000023 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345493268 Reassigns benefits to 3 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
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians
Sky Anesthesia IncGroup PAC ID 8426481342, 4 clinicians

Practice addresses (Care Compare)

17296 Slover Ave
Fontana, CA 92337-7585
Phone (909) 427-5000

4477 W 118TH St
Suite 501
Hawthorne, CA 90250-2260
Phone (213) 465-0994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4272CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sda Services of Ca CurrentSince Jun 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 31, 2013 Accepting new patients
Pacific Vascular Access Care, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Reekeshrpatelmd Inc CurrentSince Mar 7, 2021 Accepting new patients
Sky Anesthesia Inc. CurrentSince Oct 8, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 31, 2013 Accepting new patients

Locations

17296 Slover Ave
Fontana, CA 92337
Phone (909) 609-3000

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

25915 Barton Rd
Loma Linda, CA 92354
Phone (714) 394-6465

8283 Grove Ave
Ste 207A
Rch Cucamonga, CA 91730
Phone (562) 249-1218

10408 Industrial Cir
Redlands, CA 92374
Phone (909) 796-0363

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1104171065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 CHURCH ST",
            "address_2": "UNIT 123",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308917",
            "telephone_number": "909-524-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 CHURCH ST",
            "address_2": "UNIT 123",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308917",
            "telephone_number": "909-524-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYAT",
        "first_name": "CATHY",
        "middle_name": "TANG",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.