Active NPI
Marisa Bedford, CRNA
- Certified Registered Nurse Anesthetist
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000574
- Practice address
- 2435 Saint Moritz Dr
Lodi, CA 95242-9602 - Phone
- (209) 639-2901
- NPI assigned
- Sep 20, 2016
- Last updated
- Sep 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95000574 | CA | Primary |
Addresses
Primary practice location
2435 Saint Moritz Dr
Lodi, CA 95242-9602
Mailing address
2435 Saint Moritz Dr
Lodi, CA 95242-9602
Phone (209) 639-2901
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 N California St
Suite 101
Stockton, CA 95204-6032
Phone (209) 948-3241
6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000
7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Vinod C Bhan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
6600 Bruceville Rd
Sacramento, CA 95823
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
1805 N California St
Ste 101
Stockton, CA 95204
Phone (209) 948-3241
1805 N California St
Ste 1010
Stockton, CA 95204
Phone (209) 948-3241
1805 N California St
Ste 101A
Stockton, CA 95204
Phone (209) 948-3241
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
dba Mid Valley Anesthesia
- Certified Registered Nurse Anesthetist
- Stockton, CA
- NPI 1184707242
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Richmond, CA
- NPI 1235226531
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaiser Foundation Hospital South Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1528138088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1285182162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 SAINT MORITZ DR",
"city": "LODI",
"state": "CA",
"postal_code": "952429602",
"telephone_number": "209-639-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 SAINT MORITZ DR",
"city": "LODI",
"state": "CA",
"postal_code": "952429602",
"telephone_number": "209-639-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDFORD",
"first_name": "MARISA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.