Individual provider Active NPI

Nina Ngan Thai, CRNA

  • Certified Registered Nurse Anesthetist
  • Brawley, CA
National Provider Identifier
1356645865
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95000144 Issued in CA
Practice address
207 W Legion Rd
Brawley, CA 92227
Phone
(760) 351-3333
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RE3008 GU
Certified Registered Nurse Anesthetist 367500000X NP0020 GU
Certified Registered Nurse Anesthetist 367500000X NA95000144 CA Primary

Addresses

Primary practice location

207 W Legion Rd
Brawley, CA 92227

Mailing address

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

Other practice location 1

7401 E Speedway Blvd
Apt 17104
Tucson, AZ 85710-1517
Phone (520) 780-2168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, GU3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140129001759 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224214481 Reassigns benefits to 1 organization
I20160517001442 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224214481 Reassigns benefits to 4 organizations
I20200901003570 GU Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224214481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians
Down Below Certified Registered Nursing Anesthesia PCGroup PAC ID 1557802733, 5 clinicians

Practice addresses (Care Compare)

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

820 E Mountain View St
Barstow, CA 92311-3004
Phone (760) 256-1761

Hospital & facility affiliations

  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279
  • Barstow Community Hospital Hospital, Barstow, CA, CCN 050298

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2542TXMDAddiction (Substance Use Disorder) Counselor
RE3008GUMDRegistered Nurse
NA95000144CAMDCertified Registered Nurse Anesthetist
NP0020GUMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Val Verde Hospital Corporation CurrentSince Jul 28, 2014 Accepting new patients
Cep America - Anesthesia PC CurrentSince Jun 1, 2020 Accepting new patients
Lyons Huber Management Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2023 Accepting new patients
Val Verde Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Jul 28, 2014 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Cep America - Anesthesia PC CurrentSince Jun 1, 2020 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jul 28, 2020 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2023 Accepting new patients
Down Below Certified Registered Nursing Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2025 Accepting new patients
Neuro Spine and Headache Pain Management Center Past Accepting new patients
Pioneers Memorial Healthcare District Past Accepting new patients

Locations

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

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

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

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1701 S Figueroa St
Los Angeles, CA 90015
Phone (949) 478-4747

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

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

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

Organizations & group practices 12

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 2

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1356645865",
    "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": "207 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "760-351-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 E Speedway Blvd",
            "address_2": "Apt 17104",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101517",
            "country_code": "US",
            "telephone_number": "520-780-2168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "NINA",
        "middle_name": "NGAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GU",
            "license": "RE3008",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GU",
            "license": "NP0020",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.