Geoffrey Dean Edwards, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

549498 Issued in CA

Practice address

10706 Stamfield Dr
Rancho Cucamonga, CA 91730-6605

Phone

(909) 483-0116

NPI assigned

Jun 6, 2009

Last updated

Jun 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244246400000",
    "number": "1215163084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 STAMFIELD DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306605",
            "telephone_number": "909-483-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 STAMFIELD DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306605",
            "telephone_number": "909-483-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GEOFFREY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-06",
        "last_updated": "2009-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "549498",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "549498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebi, LLC
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• Fairy Ancheta Edades, P.T.A.
• Randi Celeste Edwards
• Shannen Nicole Edwards
• Terrence Milo Edwards, PSYD
• Robert David Eggleston Jr.
• Ehab Ateia DDS Inc (All Care Dental Group)

• Registered Nurse in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.