Active NPI
Tracy Brent Larsen, CRNA
- Certified Registered Nurse Anesthetist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA95000043
- Practice address
- 2615 Chester Ave
Bakersfield, CA 93301-2014 - Phone
- (661) 395-3000
- NPI assigned
- Dec 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA95000043 | CA | Primary |
Addresses
Primary practice location
2615 Chester Ave
Bakersfield, CA 93301-2014
Mailing address
2635 G St
Bakersfield, CA 93301-2813
Phone (661) 633-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, UT
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA95000043 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Anesthesia Associates Inc | Current | Accepting new patients | |
| Valley Anesthesia Associates, Inc. | Current | Accepting new patients | |
| Vaughn Jones Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Innovative Anesthesia Solutions PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Zion Eye Institute, Inc | Current | Accepting new patients |
Locations
2620 Chester Ave
Bakersfield, CA 93301
Phone (661) 323-4673
2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1791 E 280 N
St George, UT 84790
Phone (435) 628-4429
676 S Bluff St
St George, UT 84770
Phone (435) 673-8080
676 S Bluff St
Ste 101
St George, UT 84770
Phone (435) 673-0095
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1043466550
-
- Certified Registered Nurse Anesthetist
- St George, UT
- NPI 1730766098
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- St George, UT
- NPI 1326424391
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- St George, UT
- NPI 1831182799
-
- Anesthesiology Physician
- St George, UT
- NPI 1730452814
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1982617452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1407277189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 G ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012813",
"telephone_number": "661-633-1500",
"fax_number": "661-633-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012014",
"telephone_number": "661-395-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "TRACY",
"middle_name": "BRENT",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-23",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA95000043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.