Active NPI
Delano Isaac Walters, CRNA
- Certified Registered Nurse Anesthetist
- Selma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA2304
- Practice address
- 1141 Rose Ave
Selma, CA 93662-3241 - Phone
- (559) 891-6250
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA2304 | CA | Primary |
Addresses
Primary practice location
1141 Rose Ave
Selma, CA 93662-3241
Mailing address
828 S Peach Ave
Reedley, CA 93654-9348
Phone (559) 643-8404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN5318070 | Medicaid | CA |
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 |
|---|---|---|---|
| NA2304 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Gastroenterology Anesthesia Specia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MD Cyrus Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cencal Anesthesia and Nursing Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
681 Third Ave
#B
Chula Vista, CA 91910
Phone (619) 425-2150
286 Euclid Ave
Ste 109
San Diego, CA 92114
Phone (619) 266-1653
286 Euclid Ave
Ste 110
San Diego, CA 92114
Organizations & group practices 3
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.
-
dba Southern California Gastroenterology Anesthesia Specialists
- Certified Registered Nurse Anesthetist
- San Diego, CA
- NPI 1073997359
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hanford, CA
- NPI 1609175165
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hanford, CA
- NPI 1033386362
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265545537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 S PEACH AVE",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936549348",
"telephone_number": "559-643-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 ROSE AVE",
"city": "SELMA",
"state": "CA",
"postal_code": "936623241",
"telephone_number": "559-891-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "DELANO",
"middle_name": "ISAAC",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA2304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN5318070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selma, CA
- Virender S. Kaleka, M.D. (Selma Rural Health Clinic)
- Vision Care Center, a Medical Group, Inc (Eye-Q Vision Care)
- Vitality Medical Spa Inc.
- Walgreen Co (Walgreens #12337)
- Walmart Inc. (Walmart Pharmacy 10-1882)
- Brielle Warren
- Deanna Aileen Waugh, PSY.D.
- We Care Nemt Services
- Westcare California, Inc.
- Western Dental Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.