Active NPI
Jon Deloge, CRNA
- Certified Registered Nurse Anesthetist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3658
- Practice address
- 4150 Clement St
San Francisco, CA 94121-1563 - Phone
- (415) 221-4810
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- 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 | 3658 | CA | Primary |
Addresses
Primary practice location
4150 Clement St
San Francisco, CA 94121-1563
Mailing address
370 Wilson Way
Larkspur, CA 94939-1939
Phone (810) 691-0773
Other practice location 1
60 MDG / SGCJ
101 Bodin Cir
Apo, AA 94535-1800
Phone (707) 423-7611
Other names 1
- Dr. Jon Deloge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
Hospital & facility affiliations
- Highland Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3658 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Atchison Crna Inc, a Professional Nursing Corp. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Amsurg Marin Anesthesia LP | Current | Accepting new patients | |
| Amsurg Oakland Anesthesia LP | Current | Accepting new patients | |
| Chevy Chase Anesthesia LLC | Past | Accepting new patients | |
| Providence Wa Anesthesia Services, P.C. | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Locations
1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
300 Ogawa Plz
Ste 135
Oakland, CA 94612
Phone (510) 893-1600
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Anesthesiology Physician
- Greenbrae, CA
- NPI 1972929925
-
- Anesthesiology Physician
- Oakland, CA
- NPI 1679847727
-
- Certified Registered Nurse Anesthetist
- Napa, CA
- NPI 1073542213
Nurse Anesthetist, Certified Registered
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- Anesthesiology Physician
- Frederick, MD
- NPI 1538158977
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154385409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 WILSON WAY",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391939",
"telephone_number": "810-691-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 CLEMENT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941211563",
"telephone_number": "415-221-4810"
}
],
"practiceLocations": [
{
"address_1": "60 MDG / SGCJ",
"address_2": "101 Bodin Cir",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AA",
"postal_code": "945351800",
"country_code": "US",
"telephone_number": "707-423-7611",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "DELOGE",
"first_name": "JON",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2022-07-21",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JON",
"last_name": "DELOGE",
"prefix": "DR.",
"credential": "DNAP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Francisco, CA
- Sarah Lynn Dellatorre, MSN, NP-C
- Francesca Nesta Delling, MD
- Dellon Institute for Peripheral Nerve Surgery Northern California
- Jamie Delman
- Megan Celeste Deloach, MASSAGE THERAPIST
- Francis Earvin Delos Reyes
- Mireen Quizon Delos Santos, N.P.
- Kimberly Medina Delosreyes
- Anthony M Delrosario, OTR
- Phil Delrosario
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.