Individual provider Active NPI

David Charles Hatch, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1265846182
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95000164 Issued in CA
Practice address
Fresno & R Street
Fresno, CA 93721-1365
Phone
(559) 459-6000
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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 NA95000164 CA Primary

Addresses

Primary practice location

Fresno & R Street
Fresno, CA 93721-1365

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141014001024 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739300823 Reassigns benefits to 2 organizations
I20190529000594 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739300823 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NA95000164CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Anesthesiology Solutions Nurse Anesthetist, Certified Registered CurrentSince May 25, 2021 Accepting new patients
Omni Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 10, 2016 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince May 1, 2019 Accepting new patients

Locations

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

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

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

7075 N Sharon Ave
Fresno, CA 93720
Phone (559) 486-2000

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

6400 SE Lake Rd
Ste 130
Portland, OR 97222
Phone (503) 594-1774

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1265846182",
    "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": "FRESNO & R STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211365",
            "telephone_number": "559-459-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95000164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.