Individual provider Active NPI

Joel D Swanbom, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1366502684
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA3412 Issued in CA
Practice address
Fresno & R Street
Fresno, CA 93721
Phone
(559) 459-6000
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN568428 CA
Certified Registered Nurse Anesthetist 367500000X NA3412 CA Primary

Addresses

Primary practice location

Fresno & R Street
Fresno, CA 93721

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
RN5684280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA, AR, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070714000258 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486754793 Reassigns benefits to 2 organizations
I20220124000927 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486754793 Reassigns benefits to 3 organizations
I20221004003702 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486754793 Reassigns benefits to 2 organizations
I20250224002839 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486754793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN568428CAMDRegistered Nurse
NA3412CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
M Kneeland LLC CurrentSince Mar 2, 2024 Accepting new patients
Smso Anesthesia, LLC CurrentSince Jan 12, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jul 11, 2016 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Community Foundation Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Ans Services of Arkansas PA CurrentSince Dec 23, 2023 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 17, 2022 Accepting new patients
Arkansas Health Group CurrentSince Sep 30, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Jul 11, 2016 Accepting new patients
Northstar Anesthesia of Missouri, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Arkansas Health Group CurrentSince Sep 30, 2022 Accepting new patients
Endoscopy Center of Monroe Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 29)

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

2828 Fresno St
Ste 100
Fresno, CA 93721
Phone (559) 263-9648

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

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

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

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

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

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

101 Catalpa St
Monroe, LA 71201
Phone (318) 812-1761

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1366502684",
    "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": "FRESNO & R STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93721",
            "telephone_number": "559-459-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANBOM",
        "first_name": "JOEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN568428",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA3412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN5684280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.