NPIMap

Organization Active NPI

Sda Services of Ca

Doing business as SDA Services of CA PC

  • Anesthesiology Physician
  • Crescent City, CA
National Provider Identifier
1417428970
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SDA SERVICES OF CA
Doing business as
SDA Services of CA PC
Practice address
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone
(707) 464-8511
NPI assigned
Dec 10, 2018
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Aaron A Jones, CRNANPI 1215015706
Title
Ceo
Phone
(615) 823-8024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

800 E Washington Blvd
Crescent City, CA 95531-8359

Mailing address

PO Box 440448
Nashville, TN 37244-0448
Phone (615) 823-8024

Other names 1

  • SDA Services of CA PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190302000074 CA Part B Supplier - Clinic/Group Practice 5496094823 Receives reassigned benefits from 121 practitioners
Practice locations: Crescent City, CA; Roseville, CA; Redlands, CA; Porterville, CA; Loma Linda, CA; Citrus Heights, CA; Arcata, CA

National Provider Directory

National Provider Directory

Locations

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

655 Munras Ave
Ste 100
Monterey, CA 93940

655 Munras Ave Ste 100
Ste 100
Monterey, CA 93940

Practitioners & affiliated clinicians

Practitioners 129

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 129

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1417428970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440448",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440448",
            "telephone_number": "615-823-8024",
            "fax_number": "615-823-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WASHINGTON BLVD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318359",
            "telephone_number": "707-464-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDA SERVICES OF CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-823-8024",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDA Services of CA PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crescent City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.

Verify at the official NPI Registry.