Individual provider Active NPI

David Wayne Rowen, CRNA

  • Certified Registered Nurse Anesthetist
  • Sacramento, CA
National Provider Identifier
1508842683
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
458438/2390 RN/CRNA Issued in CA
Practice address
4150 V St
PSSB-Suite 1200, Med: Anesthesia
Sacramento, CA 95817-1460
Phone
(916) 734-7985
Fax
(916) 734-2975
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 458438/2390 RN/CRNA CA Primary

Addresses

Primary practice location

4150 V St
PSSB-Suite 1200, Med: Anesthesia
Sacramento, CA 95817-1460

Mailing address

4150 V St
PSSB-Suite 1200, Med: Anesthesia
Sacramento, CA 95817-1460
Phone (916) 734-7985

Other identifiers 1

IdentifierTypeStateIssuer
006990OtherCAPHYSICIAN INDEX #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001547 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395783039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vallot Nurse Anesthesia, a Professional CorporationGroup PAC ID 8820319213, 16 clinicians

Practice addresses (Care Compare)

2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 529-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
458438/2390 RN/CRNACAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Vallot Nurse Anesthesia, a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2024 Accepting new patients
Surgical Anesthesia Services of California Past Accepting new patients

Locations

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2550 Sister Mary Columba Dr
#D
Red Bluff, CA 96080
Phone (530) 529-8000

2805 J St
Ste 200
Sacramento, CA 95816
Phone (916) 231-8755

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1508842683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 V ST",
            "address_2": "PSSB-SUITE 1200, MED: ANESTHESIA",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-7985",
            "fax_number": "916-734-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 V ST",
            "address_2": "PSSB-SUITE 1200, MED: ANESTHESIA",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-7985",
            "fax_number": "916-734-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWEN",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "458438/2390 RN/CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN INDEX #",
            "identifier": "006990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.

Verify at the official NPI Registry.