Active NPI
Holly Tree Anesthesia
- Certified Registered Nurse Anesthetist
- Chico, CA
National Provider Identifier
1487372850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- HOLLY TREE ANESTHESIA
- Practice address
- 121 Raley Blvd
Chico, CA 95928-8347 - Phone
- (530) 370-6928
- NPI assigned
- Aug 22, 2022
- Last updated
- Jan 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel A Acebo, CRNA
- Title
- President
- Phone
- (530) 370-6928
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
121 Raley Blvd
Chico, CA 95928-8347
Mailing address
442 Dominica CT
Redding, CA 96003-2814
Phone (305) 243-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Oroville, CA
- NPI 1083131445
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Chico, CA
- NPI 1477160232
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Klamath Falls, OR
- NPI 1134162001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1487372850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 DOMINICA CT",
"city": "REDDING",
"state": "CA",
"postal_code": "960032814",
"telephone_number": "305-243-0440",
"fax_number": "530-243-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RALEY BLVD",
"city": "CHICO",
"state": "CA",
"postal_code": "959288347",
"telephone_number": "530-370-6928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLY TREE ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-22",
"last_updated": "2024-01-04",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "ACEBO",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-370-6928",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.