Emily R Berg, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sacramento, CA
NPI 1487959946 · NPPES record last updated Apr 14, 2020
Key facts
- NPI
- 1487959946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 95000118 (CA)
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 734-5031
- NPI assigned
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Clinical Colleagues Inc
St Joseph Health Northern California LLC
Umass Memorial Medical Group Inc
Mountain View Anesthesia LC
Practice addresses (Care Compare)
1000 Lincoln St
Fort Morgan, CO 80701-3290
Phone (970) 867-3391
3300 Renner Dr
Fortuna, CA 95540-3120
Phone (707) 725-3361
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
750 W 800
Orem, UT 84057-3660
Phone (801) 714-6000
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
- Providence Redwood Memorial Hospital
- St Elizabeth Hospital
- Timpanogos Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in MA, CA, NV, UT, ID, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110409000050 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648452425 | Reassigns benefits to 1 organization |
| I20140812002455 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648452425 | Reassigns benefits to 4 organizations |
| I20221116002708 | NV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648452425 | Reassigns benefits to 1 organization |
| I20250110002187 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648452425 | Reassigns benefits to 2 organizations |
| I20250304003355 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648452425 | Reassigns benefits to 1 organization |
| I20250913000804 | CO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648452425 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000118 | CA | MD | Certified Registered Nurse Anesthetist |
| 0024169698 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Health Northern California, LLC | Current |
Accepting new patients | |
| Mountain View Anesthesia LC | Current |
Accepting new patients | |
| County of San Joaquin | Current |
Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current |
Accepting new patients | |
| Carson Tahoe Physician Hospital Organization, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Services of San Joaquin, P.C. | Current |
Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| St. Joseph Health Northern California, LLC | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| County of San Joaquin | Current |
Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current |
Accepting new patients | |
| St. Joseph Health Northern California, LLC | Current |
Accepting new patients | |
| Northstar Anesthesia of Idaho PLLC | Current |
Accepting new patients | |
| Cep America - Anesthesia PC | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320
333 N 18th Ave
Ste C
Pocatello, ID 83201
Phone (208) 234-7800
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024169698 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1920 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 95000118 | CA | Yes |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
P.O. Box 37090
Baltimore, MD 21297-3090
Phone (703) 295-9360
Other practice location 1
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487959946 | Medicaid | VA |
Other providers in Sacramento, CA
- Tatyana Berezenko
- Olha Berezniuk
- Bruce Laurence Berg
- Cecelia N. Berg
- David Joseph Berg
- Gerre Marrion Berg
- Kaitlan Berg
- Karrie N. Berg
- Katherine Berg
- Michael Lawrence Berg
All providers in Sacramento, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.