Individual provider Active NPI

Omar Carbajal, CRNA

  • Certified Registered Nurse Anesthetist
  • Oroville, CA
National Provider Identifier
1275251944
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001821 Issued in CA
Practice address
2767 Olive Hwy
Oroville, CA 95966-6118
Phone
(530) 533-8500
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 95001821 CA Primary

Addresses

Primary practice location

2767 Olive Hwy
Oroville, CA 95966-6118

Mailing address

8769 Prince Ave
Los Angeles, CA 90002-1257
Phone (310) 569-3529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927002997 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022494152 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Puerto Rico School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HP Anesthesia IncGroup PAC ID 6608009766, 34 clinicians
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (213) 413-3000

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 664-2744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.23 of 100Reported as group
Quality
36.36
Promoting interoperability
100
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001821CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia on Demand - a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2022 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2022 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Nov 18, 2023 Accepting new patients
Landmark Anesthesia Medical Group CurrentSince May 13, 2024 Accepting new patients
HP Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2024 Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243

801 S Chevy Chase Dr
Ste 106
Glendale, CA 91205
Phone (818) 265-2275

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

6100 Waterford District Dr
Ste 450
Miami, FL 33126

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1275251944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8769 PRINCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900021257",
            "telephone_number": "310-569-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666118",
            "telephone_number": "530-533-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "OMAR",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.

Verify at the official NPI Registry.