Active NPI
Garry G Frizell, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
National Provider Identifier
1184669277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA1147
- Practice address
- 6425 N Flora Ave
Fresno, CA 93710-4103 - Phone
- (559) 448-9034
- Fax
- (559) 439-0223
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | NA1147 | CA | Primary |
Addresses
Primary practice location
6425 N Flora Ave
Fresno, CA 93710-4103
Mailing address
6425 N Flora Ave
Fresno, CA 93710-4103
Phone (559) 448-9034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA0011470 | Other | CA | BLUE SHIELD OF CA |
| RN2575960 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA1147 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Anesthesia, a California Nursing Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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
- Clovis, CA
- NPI 1205856655
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198886400000",
"number": "1184669277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 N FLORA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937104103",
"telephone_number": "559-448-9034",
"fax_number": "559-439-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6425 N FLORA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937104103",
"telephone_number": "559-448-9034",
"fax_number": "559-439-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIZELL",
"first_name": "GARRY",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA1147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "NA0011470",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN2575960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.