Active NPI
Joel D Swanbom, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA3412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN5684280 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, LA, AR, MO
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN568428 | CA | MD | Registered Nurse |
| NA3412 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Kneeland LLC | Current | Accepting new patients | |
| Smso Anesthesia, LLC | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Ans Services of Arkansas PA | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Missouri, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arkansas Health Group | Current | 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.
-
- Anesthesiology Physician
- Irving, TX
- NPI 1396191789
MO, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Anesthesiology Physician
- Little Rock, AR
- NPI 1508800962
-
- Anesthesiology Physician
- Ruston, LA
- NPI 1194593269
-
- Anesthesiology Physician
- Monroe, LA
- NPI 1730134636
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1699558387
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
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.