Active NPI
Thomas Phillip Matula, CRNA
- Certified Registered Nurse Anesthetist
- Hanford, CA
National Provider Identifier
1245202860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NP0141
- Practice address
- 450 Greenfield Avenue
Hanford, CA 93230 - Phone
- (559) 582-9000
- NPI assigned
- Feb 7, 2006
- Last updated
- Jan 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2715 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | NA2715 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | NP0141 | GU | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RE1929 | GU |
Addresses
Primary practice location
450 Greenfield Avenue
Hanford, CA 93230
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
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 |
|---|---|---|---|
| NA2715 | CA | MD | Certified Registered Nurse Anesthetist |
| NP0141 | GU | 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 |
| Nodak Anesthesia, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Clovis, CA
- NPI 1205856655
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hanford, CA
- NPI 1386836997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1245202860",
"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": "450 GREENFIELD AVENUE",
"city": "HANFORD",
"state": "CA",
"postal_code": "93230",
"telephone_number": "559-582-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATULA",
"first_name": "THOMAS",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "2715",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA2715",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GU",
"license": "NP0141",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GU",
"license": "RE1929",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.