Active NPI
Hyun Joo Nam, CRNA
- Certified Registered Nurse Anesthetist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7277
- Practice address
- PO Box 22410
Bakersfield, CA 93390-2410 - Phone
- (503) 419-8769
- NPI assigned
- Jul 10, 2021
- Last updated
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 323008 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 7277 | NC | Primary |
Addresses
Primary practice location
PO Box 22410
Bakersfield, CA 93390-2410
Mailing address
10 New HVN
Irvine, CA 92620-3285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 Laurel Ave
Redlands, CA 92373-4838
Phone (909) 793-4701
2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323008 | NC | MD | Critical Care Medicine Registered Nurse |
| 7277 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelle Anesthesia Services, Inc. | Current | Accepting new patients |
Locations
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1689317208
-
- Certified Registered Nurse Anesthetist
- Rancho Mirage, CA
- NPI 1932571551
-
- Certified Registered Nurse Anesthetist
- Riverside, CA
- NPI 1053282962
-
- Licensed Practical Nurse
- Beverly Hills, CA
- NPI 1508283698
Hospital & facility affiliations 1
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": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1255903217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NEW HVN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 22410",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933902410",
"telephone_number": "503-419-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "HYUN JOO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-10",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NC",
"license": "323008",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "7277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.