Individual provider Active NPI

Geet Athwal

  • Certified Registered Nurse Anesthetist
  • Lathrop, CA
National Provider Identifier
1194397117
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002269 Issued in CA
Practice address
16172 Sheltered CV E
Lathrop, CA 95330-8898
Phone
(209) 606-7733
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates Inc (143 clinicians)

Practice addresses (Care Compare)

1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 578-1211

Hospital & facility affiliations

  • Doctors Medical Center Hospital · Modesto, CA · CCN 050464
  • Doctors Hospital of Manteca Hospital · Manteca, CA · CCN 050118
  • Emanuel Medical Center Hospital · Turlock, CA · CCN 050179

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240402004087 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365880929 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
95133475CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current
since May 5, 2024
Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group, Inc Current
since May 5, 2024
Accepting new patients
Valley Regional Anesthesia Associates Inc Current
since Jan 29, 2024
Accepting new patients

Locations (25 of 28)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

4601 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000

1300 Mable Ave
#1
Modesto, CA 95355
Phone (209) 571-1633

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95133475 CA
Certified Registered Nurse Anesthetist 367500000X 95002269 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

16172 Sheltered CV E
Lathrop, CA 95330-8898

Mailing address

16172 Sheltered CV E
Lathrop, CA 95330-8898
Phone (209) 606-7733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2024.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1194397117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16172 SHELTERED CV E",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308898",
            "telephone_number": "209-606-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16172 SHELTERED CV E",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308898",
            "telephone_number": "209-606-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHWAL",
        "first_name": "GEET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95133475",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2024; 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.