Robert Daniel Nicholas III, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95002292 Issued in CA

Practice address

1781 Stoneman Dr
Suisun City, CA 94585-3218

Phone

(678) 699-1559

NPI assigned

Jun 30, 2021

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, GA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Perimeter Anesthesia LLCGroup PAC ID 2567763048, 16 clinicians

Green AnesthesiaGroup PAC ID 6103270566, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Medical Center Hospital, Modesto, CA, CCN 050464
• Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
• Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 46)

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.

• Green Anesthesia

  • Certified Registered Nurse Anesthetist
  • Fairfield, CA
  • NPI 1457039331

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Valley Regional Anesthesia Associates Inc

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1578272415
  Medicare reassignment Care Compare group NPD
• Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1922402445

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Piedmont Anesthesia LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1700474244
  Medicare reassignment Care Compare group NPD
• Parish Anesthesia of California, a Professional Medical Corporation

  • Anesthesiology Physician
  • Mount Shasta, CA
  • NPI 1790106862

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ahs Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Smyrna, GA
  • NPI 1316214604

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Solutions of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Canton, GA
  • NPI 1093035677

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• CSP Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1568946812
  Medicare reassignment NPD
• Sutter Valley Medical Foundation

  dba Briggsmore Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Modesto, CA
  • NPI 1346615150
  Medicare reassignment
• Sutter Valley Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1457593980
  Medicare reassignment
• Sutter Valley Medical Foundation

  dba Stockton Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Stockton, CA
  • NPI 1467825844
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital of Manteca, Inc.

  dba Doctors Hospital of Manteca

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  Care Compare affiliation
• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  Care Compare affiliation
• Piedmont Henry Hospital, Inc.

  • General Acute Care Hospital
  • Stockbridge, GA
  • NPI 1225034333
  Care Compare affiliation

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1366012361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 STONEMAN DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945853218",
            "telephone_number": "678-699-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 STONEMAN DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945853218",
            "telephone_number": "678-699-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815085",
            "country_code": "US",
            "telephone_number": "678-604-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002292",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN225769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianni-Geana Arceo Muna
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• Anh-Tu Dinh Nguyen, PHARMD
• Jacqueline Nguyen
• Anquanitte Darlene Ortega
• Kenya N Owens
• Paradise Adolescent Homes, Inc.
• Emma Concepcion Santero Parayno, RPH
• Hideko Pelzer, L.AC.

• Certified Registered Nurse Anesthetist in Suisun City, CA
• Providers in Suisun City, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.