Individual provider Active NPI

Carla S Rosenblum, CRNA

  • Certified Registered Nurse Anesthetist
  • Stockton, CA
National Provider Identifier
1376616151
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-01244 Issued in NM
Practice address
1800 N California St
Stockton, CA 95204-6019
Phone
(209) 467-6556
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000133 CA
Certified Registered Nurse Anesthetist 367500000X 9470577 FL
Certified Registered Nurse Anesthetist 367500000X CRNA1376 AZ
Certified Registered Nurse Anesthetist 367500000X 111054 CO
Certified Registered Nurse Anesthetist 367500000X AP124922 TX
Certified Registered Nurse Anesthetist 367500000X 202002210CRNA OR
Certified Registered Nurse Anesthetist 367500000X CRNA-01244 NM Primary

Addresses

Primary practice location

1800 N California St
Stockton, CA 95204-6019

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1253

Other practice location 1

400 9th St
Florence, OR 97439-7398
Phone (541) 997-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM, TX, CA, OR, FL6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070308000255 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274636477 Reassigns benefits to 4 organizations
I20140604001243 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274636477 Reassigns benefits to 2 organizations
I20140916002282 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274636477 Reassigns benefits to 3 organizations
I20141229000537 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274636477 Reassigns benefits to 4 organizations
I20200417003001 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274636477 Reassigns benefits to 1 organization
I20201117000581 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274636477 Reassigns benefits to 2 organizations

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
Anesthesia Partners of ColoradoGroup PAC ID 0345520151, 99 clinicians

Practice addresses (Care Compare)

320 Beard Creek Rd
Edwards, CO 81632-6433
Phone (970) 569-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CRNA1376AZMDCertified Registered Nurse Anesthetist
111054COMDCertified Registered Nurse Anesthetist
9470577FLMDCertified Registered Nurse Anesthetist
CRNA-01244NMMDCertified Registered Nurse Anesthetist
202002210CRNAORMDCertified Registered Nurse Anesthetist
AP124922TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital CurrentSince Mar 10, 2018 Accepting new patients
Sierra Nurse Anesthesia Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Peacehealth CurrentSince Apr 27, 2020 Accepting new patients
Hospitalist Medicine Physicians of Colorado - Denver PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
North Denver Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 11, 2025 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Feb 28, 2021 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2014 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2018 Accepting new patients
Northstar Anesthesia of New Mexico LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 17, 2025 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Sep 20, 2023 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2014 Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Dec 31, 2017 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 4, 2021 Accepting new patients
Monterey Anesthesia Professionals Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Mar 10, 2018 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 4, 2021 Accepting new patients
Anesthesia Partners of Colorado CurrentSince Dec 1, 2025 Accepting new patients

Locations (25 of 42)

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

1395 W Lacey Blvd
Hanford, CA 93230
Phone (559) 585-3937

300 Canal St
King City, CA 93930
Phone (831) 385-6000

210 Canal St
King City, CA 93930
Phone (931) 385-7100

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

5021 W Noble Ave
Visalia, CA 93277
Phone (559) 625-2020

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1830 N Franklin St
Ste 210
Denver, CO 80218

320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272

13952 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 271-1112

1551 Professional Ln
Ste 295
Longmont, CO 80501
Phone (303) 702-5900

11900 Grant St
Ste 320
Northglenn, CO 80233

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 19

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 19

Hospital & facility affiliations 5

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1376616151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1253",
            "fax_number": "360-729-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "209-467-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974397398",
            "country_code": "US",
            "telephone_number": "541-997-8412",
            "fax_number": "541-902-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "CARLA",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-07-12",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000133",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9470577",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1376",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "111054",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP124922",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "202002210CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.