Jennifer R Davoudi, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

521627-2862 Issued in CA

Practice address

250 Hospital Pkwy
San Jose, CA 95119-1103

Phone

(408) 972-6320

NPI assigned

Jan 10, 2007

Last updated

Jan 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Empire Anesthesia IncGroup PAC ID 8224197108, 21 clinicians

Mai Nursing Anesthesia PCGroup PAC ID 2567858764, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 31)

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.

• Empire Anesthesia Inc

  • Anesthesiology Physician
  • San Ramon, CA
  • NPI 1174792261
  Medicare reassignment Care Compare group NPD
• Mai Nursing Anesthesia PC

  dba Kaleidoscope Anesthesia Nursing

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1003572769
  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Apa Medical Group, Inc.

  • Anesthesiology Physician
  • Camarillo, CA
  • NPI 1700596111
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Allen Lavee MD, Inc.

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1316997612
  NPD (past)
• Apmc Medical Group Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1184592982
  NPD (past)
• National Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Los Gatos, CA
  • NPI 1649500950
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1407905920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18275",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951588275",
            "telephone_number": "408-972-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191103",
            "telephone_number": "408-972-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOUDI",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "521627-2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Melanie Davis
• Teresa RS Davis, MS, CF-SLP
• Vanessa Davis
• Davita Nephrology Medical Associates of Ca Inc (South Bay Kidney and Hypertension Consultants Inc)
• Catherine Davitt, ATC,PTA,C.E.A.S.II
• Simi Davu, MD
• Srijana Davuluri, M.B.B.S
• Vrushali Bharat Dawda
• Monica Tan Dawley, FNP-C
• Beelet Dawood, MD

• Certified Registered Nurse Anesthetist in San Jose, CA
• Providers in San Jose, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.