Individual provider Active NPI

Martin Bengt Jacobsson, CRNA

  • Certified Registered Nurse Anesthetist
  • Bakersfield, CA
National Provider Identifier
1326240367
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA3023 Issued in CA
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone
(661) 326-2000
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA3023 CA Primary
Certified Registered Nurse Anesthetist 367500000X 509823 CA

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Mailing address

26792 Madigan Dr
Canyon Country, CA 91351-4809
Phone (661) 250-0709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000551 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820032857 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Anesthesia Associates IncGroup PAC ID 7810275096, 45 clinicians
Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 324-4647

Hospital & facility affiliations

  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NA3023CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Apr 1, 2017 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 1, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2120 19th St
Bakersfield, CA 93301
Phone (661) 638-0620

9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

7152 N Sharon Ave
Ste 104
Fresno, CA 93720
Phone (559) 447-4898

7085 N Maple Ave
Fresno, CA 93720
Phone (559) 325-7100

6125 N Fresno St
Fresno, CA 93710
Phone (559) 285-9344

1630 E Herndon Ave
Ste 100
Fresno, CA 93720
Phone (559) 449-2888

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

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

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

1390 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 580-3400

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

44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411

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

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

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

1801 Colorado Ave
Ste 140
Turlock, CA 95382
Phone (209) 216-3470

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

Organizations & group practices 6

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 5

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1326240367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26792 MADIGAN DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514809",
            "telephone_number": "661-250-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSSON",
        "first_name": "MARTIN",
        "middle_name": "BENGT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA3023",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "509823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.