Individual provider Active NPI

Kevin K Spuhler, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1477889103
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3886 Issued in CA
Practice address
2259 E Cole Ave
Fresno, CA 93720-3956
Phone
(619) 253-1833
NPI assigned
Oct 31, 2009
Last updated
Dec 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01212744OtherTXRR MEDICARE
1477889103OtherTXBCBS OF TX
211568503MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229001683 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214066646 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
589996TXMDCritical Care Medicine Registered Nurse
3886CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Gastroenterology Anesthesia Specia Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2020 Accepting new patients
Arthur Christopher Vigil MD Inc CurrentSince Jul 9, 2019 Accepting new patients
Valley Anesthesia Associates, Inc. CurrentSince Feb 1, 2016 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.

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

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.

Verify at the official NPI Registry.