Active NPI
Timothy James Cheatham
- Certified Registered Nurse Anesthetist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95001090
- Practice address
- 2025 Morse Ave
Sacramento, CA 95825-2115 - Phone
- (916) 973-5000
- NPI assigned
- Mar 13, 2019
- 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 | 95001090 | CA | Primary |
Addresses
Primary practice location
2025 Morse Ave
Sacramento, CA 95825-2115
Mailing address
5020 Waterbury Way
Fair Oaks, CA 95628-4224
Phone (916) 837-2377
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191231002324 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7618301516 | Reassigns benefits to 11 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Regional Anesthesia Associates IncPermanente Medical Group IncCep America - Anesthesia PCSutter Valley Medical Foundation
Practice addresses (Care Compare)
1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 578-1211
2025 Morse Ave
Sacramento, CA 95825-2115
Phone (916) 973-5000
2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 529-8000
460 Plumas Blvd
Yuba City, CA 95991-5005
Phone (530) 741-1400
480 Plumas Blvd
Yuba City, CA 95991-5005
Phone (530) 749-3500
Hospital & facility affiliations
- St Elizabeth Community Hospital
- Kaiser Foundation Hospital - Sacramento
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Sutter Medical Foundation | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Regents of the Univ of Ca | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Green Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sda Services of Ca | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Catholic Healthcare West | Past | Accepting new patients | |
| Cep America - Anesthesia PC | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations (25 of 49)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921
5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400
2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
1238 West St
Redding, CA 96001
Phone (530) 241-5499
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
Organizations & group practices 49
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.
-
- Certified Registered Nurse Anesthetist
- Fairfield, CA
- NPI 1457039331
CA, Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
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": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1154880797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 WATERBURY WAY",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956284224",
"telephone_number": "916-837-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 MORSE AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252115",
"telephone_number": "916-973-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-13",
"last_updated": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95001090",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2025 Morse Ave",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958252115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.