Individual provider Active NPI

Nathalie Ung, CRNA

  • Certified Registered Nurse Anesthetist
  • San Jose, CA
National Provider Identifier
1366980906
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000711 Issued in CA
Practice address
1754 Flickinger PL
San Jose, CA 95131-1992
Phone
(408) 834-9189
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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 818754 CA
Certified Registered Nurse Anesthetist 367500000X 95000711 CA Primary

Addresses

Primary practice location

1754 Flickinger PL
San Jose, CA 95131-1992

Mailing address

1754 Flickinger PL
San Jose, CA 95131-1992
Phone (408) 834-9189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615000582 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800164872 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of California PCGroup PAC ID 5092897025, 44 clinicians

Practice addresses (Care Compare)

825 Delbon Ave
Turlock, CA 95382-2016
Phone (404) 941-1210

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
71.65
Improvement activities
40
Cost
57.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince May 30, 2017 Accepting new patients
County of San Joaquin CurrentSince May 30, 2017 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Jul 17, 2020 Accepting new patients
Premier Anesthesia of California, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince May 30, 2017 Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1801 Colorado Ave
Ste 140
Turlock, CA 95382
Phone (209) 216-3470

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1366980906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 FLICKINGER PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311992",
            "telephone_number": "408-834-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 FLICKINGER PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311992",
            "telephone_number": "408-834-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNG",
        "first_name": "NATHALIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "818754",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.