Carlos Acevedo Jr.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Visalia, CA
NPI 1215708656 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1215708656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 95002541 (CA)
- Practice address
- 3141 W Sedona Ave
Visalia, CA 93291-6550 - Phone
- (559) 901-9520
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Consultants of Fresno
Practice addresses (Care Compare)
1360 E Spruce Ave
Suite 101a
Fresno, CA 93720-3378
Phone (559) 437-5645
Hospital & facility affiliations
- Saint Agnes Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250227002943 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9537689948 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95168453 | CA | MD | Continuing Education/Staff Development Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Fresno | Current |
Accepting new patients |
Locations
1360 E Spruce Ave
Ste 101A
Fresno, CA 93720
Phone (559) 437-5645
1360 E Spruce Ave
Fresno, CA 93720
Phone (559) 341-8862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002541 | CA | Yes |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 95168453 | CA |
Addresses
Primary practice location
3141 W Sedona Ave
Visalia, CA 93291-6550
Mailing address
3141 W Sedona Ave
Visalia, CA 93291-6550
Phone (559) 901-9520
Other providers in Visalia, CA
- Stefanie Starr Absher
- Absr2 Inc
- Access Medical Associates
- Accurate Precision Urology
- Jaysi Acebo
- Maricruz Acevedo
- Martina Jeannie Acevedo
- Monica Lissete Acevedo
- Antonio Martin Aceves Santiago
- Minerva Aceves
All providers in Visalia, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.