Individual provider Active NPI

Jakkarin Jake Sareerak, C.R.N.A

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1235474016
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA4345 Issued in CA
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 459-6000
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4345 CA
Certified Registered Nurse Anesthetist 367500000X NA4345 CA Primary

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

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
I20130211000557 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981858313 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

1205 E N St
Manteca, CA 95336-4932
Phone (209) 239-8360

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Oct 1, 2024 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 1, 2020 Accepting new patients
Omni Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2013 Accepting new patients
Permanente Medical Group Inc CurrentSince Sep 14, 2015 Accepting new patients
Community Foundation Medical Group CurrentSince Jul 24, 2018 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Feb 8, 2024 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Dec 31, 2017 Accepting new patients
Community Foundation Medical Group CurrentSince Jul 24, 2018 Accepting new patients
Monterey Anesthesia Professionals Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 14, 2015 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Comprehensive Anesthesia, a California Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2017 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Apr 1, 2021 Accepting new patients
Cep America - Anesthesia PC CurrentSince Oct 1, 2020 Accepting new patients
Sda Services of Ca Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Locations (25 of 41)

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

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

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

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

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

1630 E Herndon Ave
Ste 100
Fresno, CA 93720
Phone (559) 449-2888

445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

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

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

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

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

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2 Upper Ragsdale Dr
Ste B160
Monterey, CA 93940
Phone (831) 333-4000

966 Cass St
Ste 150
Monterey, CA 93940
Phone (831) 649-1126

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

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

Organizations & group practices 19

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 19

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1235474016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAREERAK",
        "first_name": "JAKKARIN",
        "middle_name": "JAKE",
        "credential": "C.R.N.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4345",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA4345",
            "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": "275 W MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 3, 2022; 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.