Individual provider Active NPI

Timothy James Cheatham

  • Certified Registered Nurse Anesthetist
  • Sacramento, CA
National Provider Identifier
1154880797
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001090 Issued in CA
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

Updated by the provider on Dec 30, 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 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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 3870964323, 143 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

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 Hospital, Red Bluff, CA, CCN 050042
  • Kaiser Foundation Hospital - Sacramento Hospital, Sacramento, CA, CCN 050425

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Nov 7, 2025 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Oct 31, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 30, 2020 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Sutter Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Apr 2, 2019 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 29, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Apr 2, 2019 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Regents of the Univ of Ca Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2020 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 29, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Green Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Sda Services of Ca CurrentSince May 1, 2024 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.

View all 49

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.

Verify at the official NPI Registry.