Douglas M Dalitz, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

10 Issued in CA

Practice address

23 Upper Ragsdale Dr Ste 100
Monterey, CA 93940-7849

Phone

(831) 375-3577

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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.

• Lifelinc Anesthesia VI PC

  • Certified Registered Nurse Anesthetist
  • Watsonville, CA
  • NPI 1487221628

  CA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• West Central Gastroenterology LLP

  • Gastroenterology Physician
  • Clearwater, FL
  • NPI 1144454703

  FL

  Medicare reassignment Care Compare group NPD
• West Florida Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1962926568

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Monterey Bay Gi Consultants Medical Group Inc.

  • Gastroenterology Physician
  • Monterey, CA
  • NPI 1154373280

  CA

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• DMD Anesthesia a Professional Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • Salinas, CA
  • NPI 1154019941

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Barnes Jewish Hospital

  • Skilled Nursing Facility
  • Saint Louis, MO
  • NPI 1437178522
  NPD (past)
• Barnes Jewish Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1649299827
  NPD (past)
• Barnes Jewish West County Hospital

  • General Practice Physician
  • Creve Coeur, MO
  • NPI 1447268495
  NPD (past)
• Mid-Missouri Anesthesia Consultants PC

  • Anesthesiology Physician
  • Jefferson City, MO
  • NPI 1326091059
  NPD (past)

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Central Gastroenterology LLP 82 clinicians

Lifelinc Anesthesia VI PC 19 clinicians

West Florida Anesthesia Associates LLC 43 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA, FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://api.platform.athenahealth.com/11462/brand/2/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2023.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1366468589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416B MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013306",
            "telephone_number": "831-800-7887",
            "fax_number": "831-998-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 UPPER RAGSDALE DR STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407849",
            "telephone_number": "831-375-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALITZ",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "10",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "303557",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "059417",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "TCRNA800146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915920714",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Lily Dahlquist, MHS
• Daphne Deborah Dahms, D.O.
• Rajneesh K Dail, D.D.S.
• Sunderpal Singh Dail, DDS
• John Dailey
• Tamika Dalton
• Damon Anderson & Assoc Physical Therapy, Inc
• Barbara S. Dangerfield, PT, CWS
• Daniel J Pierre DDS, Ms, Inc
• Christopher Joseph Dannaker

• All providers in Monterey, CA
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.