Active NPI
Devyn Michelle Ahern, CRNA
- Certified Registered Nurse Anesthetist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3999
- Practice address
- 1800 Harrison St
7TH Floor
Oakland, CA 94612-3466 - Phone
- (510) 625-6262
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 3999 | CA | Primary |
Addresses
Primary practice location
1800 Harrison St
7TH Floor
Oakland, CA 94612-3466
Mailing address
1800 Harrison St
7TH Floor
Oakland, CA 94612-3466
Phone (510) 625-6262
Other names 1
- Devyn Michelle Nishikawa
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110906000713 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7517137235 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salim M. Shelby MD a Professional CorporationPermanente Medical Group Inc
Practice addresses (Care Compare)
1320 El Capitan Dr
Suite 110
Danville, CA 94526-6260
Phone (925) 232-0090
275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone (510) 752-1000
901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Executive Gi Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients |
Locations
1320 El Capitan Dr
Ste 110
Danville, CA 94526
Phone (925) 232-0090
1800 Harrison St
Fl 7
Oakland, CA 94612
275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Danville, CA
- NPI 1669730339
CA, Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1083777163
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1477848604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HARRISON ST",
"address_2": "7TH FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123466",
"telephone_number": "510-625-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HARRISON ST",
"address_2": "7TH FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123466",
"telephone_number": "510-625-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHERN",
"first_name": "DEVYN",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3999",
"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": "275 W MacArthur Blvd",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946115641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DEVYN",
"last_name": "NISHIKAWA",
"middle_name": "MICHELLE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.