Individual provider Active NPI

Matthew Shirts, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1447868013
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001400 Issued in CA
Practice address
6713 E Princeton Ave
Fresno, CA 93727-1441
Phone
(408) 802-1588
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 95001400 CA Primary

Addresses

Primary practice location

6713 E Princeton Ave
Fresno, CA 93727-1441

Mailing address

6713 E Princeton Ave
Fresno, CA 93727-1441
Phone (408) 802-1588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002874 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779993969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of FresnoGroup PAC ID 8527967082, 64 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309

1360 E Spruce Ave
Suite 101a
Fresno, CA 93720-3378
Phone (559) 437-5645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001400CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Oak Creek Anesthesia Services, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2021 Accepting new patients
Amsurg Clovis Ca Anesthesia LP Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2021 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

501 N Medical Center Dr E
Ste 101
Clovis, CA 93611
Phone (559) 797-9290

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7417 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 437-5645

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

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.

Hospital & facility affiliations 2

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1447868013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6713 E PRINCETON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271441",
            "telephone_number": "408-802-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 E PRINCETON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271441",
            "telephone_number": "408-802-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRTS",
        "first_name": "MATTHEW",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.