Individual provider Active NPI

Adam Gardizi, CRNA

  • Certified Registered Nurse Anesthetist
  • New Haven, CT
National Provider Identifier
1376832139
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4015 Issued in CA
Practice address
1450 Chapel St
New Haven, CT 06511
Phone
(203) 789-3538
NPI assigned
Apr 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4015 CA Primary
Certified Registered Nurse Anesthetist 367500000X 004623 CT

Addresses

Primary practice location

1450 Chapel St
New Haven, CT 06511

Mailing address

1298 Hartford Tpke Apt 11a
North Haven, CT 06473-6100
Phone (916) 397-7631

Other practice location 1

2288 Auburn Blvd Ste 201
Sacramento, CA 95821-1620
Phone (916) 929-7229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130117000115 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325223688 Reassigns benefits to 5 organizations
Practice locations: Red Bluff, CA

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services of San Joaquin PCGroup PAC ID 4082754056, 75 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 529-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.7 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004623CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sda Services of Ca CurrentSince Jun 1, 2021 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 1, 2017 Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Apr 10, 2018 Accepting new patients
Premier Anesthesia of California, PC Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2020 Accepting new patients
Mayers Memorial Hospital District CurrentSince Apr 23, 2019 Accepting new patients
Regional Anesthesia Associates Inc Past Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

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

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

25915 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (714) 394-6465

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

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

655 Munras Ave Ste 100
Ste 100
Monterey, CA 93940

966 Cass St
Ste 150
Monterey, CA 93940
Phone (831) 649-1126

2 Upper Ragsdale Dr
Ste B160
Monterey, CA 93940
Phone (831) 333-4000

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

2550 Sister Mary Columba Dr
#D
Red Bluff, CA 96080
Phone (530) 529-8000

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

950 Butte St
Redding, CA 96001
Phone (530) 223-2500

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

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

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

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

1800 N California St
Ste 1
Stockton, CA 95204
Phone (209) 467-6316

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

400 10th St E
Waconia, MN 55387

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1376832139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 HARTFORD TPKE APT 11A",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064736100",
            "telephone_number": "916-397-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-789-3538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 Auburn Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958211620",
            "country_code": "US",
            "telephone_number": "916-929-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDIZI",
        "first_name": "ADAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4015",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "004623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.