Individual provider Active NPI

Delano Isaac Walters, CRNA

  • Certified Registered Nurse Anesthetist
  • Selma, CA
National Provider Identifier
1265545537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA2304 Issued in CA
Practice address
1141 Rose Ave
Selma, CA 93662-3241
Phone
(559) 891-6250
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN5318070MedicaidCA

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

LicenseStateTypeSpecialty
NA2304CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Gastroenterology Anesthesia Specia Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2023 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.

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

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.

Verify at the official NPI Registry.