Active NPI
Sebastian Boy Mission Maderazo, CRNA
- Certified Registered Nurse Anesthetist
- Oroville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002379
- Practice address
- 2767 Olive Hwy
Oroville, CA 95966-6118 - Phone
- (530) 533-8500
- NPI assigned
- Jul 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95107437 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 95002379 | CA | Primary |
Addresses
Primary practice location
2767 Olive Hwy
Oroville, CA 95966-6118
Mailing address
2767 Olive Hwy
Oroville, CA 95966-6118
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smaderazo@email.arizona.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2767 Olice Hwy
Oroville, CA 95966-6118
2767 Olive Hwy
Oroville, CA 95966-6118
Hospital & facility affiliations
- Oroville Hospital
- Enloe Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95107437 | CA | MD | Registered Nurse |
| 95002379 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Orohealth Corporation a Non Profit Healthcare System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Arizona Nursing and Health Associates | Past | Accepting new patients |
Locations
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Oroville, CA
- NPI 1013933167
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1801345004
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1508437823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2767 OLIVE HWY",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2767 OLIVE HWY",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666118",
"telephone_number": "530-533-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADERAZO",
"first_name": "SEBASTIAN BOY",
"middle_name": "MISSION",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-07",
"last_updated": "2024-09-24",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95107437",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002379",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smaderazo@email.arizona.edu",
"affiliation": "N",
"endpointDescription": "University of Arizona",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1305 N Martin Ave",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857210001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.