Individual provider Active NPI

Iris Dichupa

  • Certified Registered Nurse Anesthetist
  • Watsonville, CA
National Provider Identifier
1417450149
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000885 Issued in CA
Practice address
75 Nielson St
Watsonville, CA 95076-2468
Phone
(831) 724-4741
NPI assigned
Mar 8, 2018
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000885 CA Primary

Addresses

Primary practice location

75 Nielson St
Watsonville, CA 95076-2468

Mailing address

2041 East St Ste 1377
Concord, CA 94520-2126
Phone (831) 244-0111

Other practice location 1

3003 Paul Sweet Rd
Santa Cruz, CA 95065-1503
Phone (831) 462-5512

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418002373 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749543072 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Consultants IncGroup PAC ID 9032210935, 18 clinicians
Mai Nursing Anesthesia PCGroup PAC ID 2567858764, 35 clinicians
Lifelinc Anesthesia VI PCGroup PAC ID 0749688000, 19 clinicians

Practice addresses (Care Compare)

1900 Sullivan Ave
Daly City, CA 94015-2200
Phone (408) 354-9254

3003 Paul Sweet Rd
Santa Cruz, CA 95065-1503
Phone (831) 462-5512

75 Neilson St
Watsonville, CA 95076-2468
Phone (831) 724-4741

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000885CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Nursing Anesthesia PC CurrentSince Feb 3, 2022 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Empire Anesthesia Inc CurrentSince Dec 1, 2018 Accepting new patients
Lifelinc Anesthesia VI PC Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2021 Accepting new patients
Permanente Medical Group, Inc CurrentSince Mar 7, 2018 Accepting new patients
Permanente Medical Group Inc CurrentSince Mar 7, 2018 Accepting new patients
Anesthesia Care Consultants Inc CurrentSince Mar 1, 2025 Accepting new patients
Central California Anesthesiology Solutions Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2026 Accepting new patients
Cruz'N Anesthesia Associates Current Accepting new patients
Anesthesia Care Consultants Inc Past Accepting new patients
Allen Lavee MD, Inc. Past Accepting new patients

Locations (25 of 34)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1208 E 5th St
#200
Benicia, CA 94510
Phone (707) 745-5500

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

2041 East St
Concord, CA 94520
Phone (858) 367-7274

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

39350 Civic Center Dr
Fremont, CA 94538
Phone (510) 299-3791

39350 Civic Center Dr
Ste 100
Fremont, CA 94538
Phone (510) 453-4600

1191 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 436-5265

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

575 Sir Francis Drake Blvd
Ste 3
Greenbrae, CA 94904
Phone (415) 925-1030

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

2425 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200

450 Sutter St
Rm 500
San Francisco, CA 94108
Phone (415) 393-9600

2500 Merced St
San Leandro, CA 94577
Phone (510) 454-1000

104 Saint Matthews Ave
San Mateo, CA 94401
Phone (650) 344-8700

5201 Norris Canyon Rd
Ste 100
San Ramon, CA 94583
Phone (925) 872-1700

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1417450149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 EAST ST STE 1377",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202126",
            "telephone_number": "831-244-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NIELSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762468",
            "telephone_number": "831-724-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Paul Sweet Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651503",
            "country_code": "US",
            "telephone_number": "831-462-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICHUPA",
        "first_name": "IRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000885",
            "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": "2500 Merced St",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945774201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.