Active NPI
Kevin K Spuhler, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3886
- Practice address
- 2259 E Cole Ave
Fresno, CA 93720-3956 - Phone
- (619) 253-1833
- NPI assigned
- Oct 31, 2009
- Last updated
- Dec 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 589996 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 3886 | CA | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 507451 | CA | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 589996 | TX |
Addresses
Primary practice location
2259 E Cole Ave
Fresno, CA 93720-3956
Mailing address
2259 E Cole Ave
Fresno, CA 93720-3956
Phone (619) 253-1833
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01212744 | Other | TX | RR MEDICARE |
| 1477889103 | Other | TX | BCBS OF TX |
| 211568503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589996 | TX | MD | Critical Care Medicine Registered Nurse |
| 3886 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Gastroenterology Anesthesia Specia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arthur Christopher Vigil MD Inc | Current | Accepting new patients | |
| Valley Anesthesia Associates, Inc. | Current | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
2620 Chester Ave
Bakersfield, CA 93301
Phone (661) 323-4673
2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500
681 Third Ave
#B
Chula Vista, CA 91910
Phone (619) 425-2150
2732 Navajo Rd
Ste 100
El Cajon, CA 92020
Phone (619) 266-3332
12264 El Camino Real
Ste 55
San Diego, CA 92130
Phone (858) 755-3937
286 Euclid Ave
Ste 109
San Diego, CA 92114
Phone (619) 266-1653
286 Euclid Ave
Ste 110
San Diego, CA 92114
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Costa Mesa, CA
- NPI 1275831505
-
dba Southern California Gastroenterology Anesthesia Specialists
- Certified Registered Nurse Anesthetist
- San Diego, CA
- NPI 1073997359
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1982617452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1477889103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 E COLE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203956",
"telephone_number": "619-253-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2259 E COLE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203956",
"telephone_number": "619-253-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPUHLER",
"first_name": "KEVIN",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-31",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "589996",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3886",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "507451",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "589996",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01212744",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "1477889103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211568503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Kathleen Marie Spriggs-Ballestero, LICENSED MARRIAGE FA
- Nathan Sprinkman, RN
- Spruce Ambulatory Surgery Center LLC (Spruce Outpatient Surgery Center)
- Spruce Multispeciatly Group
- Kevin Joseph Spruce, DNP, FNP-C
- Carrie Lynn Spurgeon I
- Christine Mona Squire, LMFT
- Jerry Pat Squire III
- Puneet Kaur Sran-Samran, MD
- Aarondeep Singh Sran, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.