Individual provider Active NPI

Jon Deloge, CRNA

  • Certified Registered Nurse Anesthetist
  • San Francisco, CA
National Provider Identifier
1154385409
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3658 Issued in CA
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

Updated by the provider on Jul 21, 2022

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 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 Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419001564 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880740984 Reassigns benefits to 4 organizations

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
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
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

LicenseStateTypeSpecialty
3658CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Atchison Crna Inc, a Professional Nursing Corp. Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2019 Accepting new patients
Alameda Health System CurrentSince Aug 31, 2023 Accepting new patients
Alameda Health System CurrentSince Aug 31, 2023 Accepting new patients
Amsurg Marin Anesthesia LP CurrentSince Mar 13, 2017 Accepting new patients
Amsurg Oakland Anesthesia LP CurrentSince Jun 19, 2022 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.

Hospital & facility affiliations 3

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": "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

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.

Verify at the official NPI Registry.