Active NPI
Megan Michelle Chezik, CRNA
- Certified Registered Nurse Anesthetist
- Vallejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 120415
- Practice address
- 975 Sereno Dr
Vallejo, CA 94589-2441 - Phone
- (707) 651-1025
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 120415 | CA | Primary |
Addresses
Primary practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Mailing address
1444 Cloudview Dr
Pleasant Hill, CA 94523-1004
Phone (925) 497-3735
Other practice location 1
1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 E Roseville Pkwy
Suite 100
Roseville, CA 95661-3080
Phone (916) 677-2488
4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4545
975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000855 | CA | MD | Nurse Practitioner |
| 120415 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University Anesthesia Medical Group | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Green Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
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
1238 West St
Redding, CA 96001
Phone (530) 241-5499
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
4 Medical Plaza Dr
Ste 210
Roseville, CA 95661
Phone (916) 773-8780
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Certified Registered Nurse Anesthetist
- Sacramento, CA
- NPI 1811386246
-
- Certified Registered Nurse Anesthetist
- Fairfield, CA
- NPI 1457039331
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1770014466
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1588162275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 CLOUDVIEW DR",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945231004",
"telephone_number": "925-497-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 SERENO DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892441",
"telephone_number": "707-651-1025"
}
],
"practiceLocations": [
{
"address_1": "1 Quality Dr",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956889494",
"country_code": "US",
"telephone_number": "707-624-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEZIK",
"first_name": "MEGAN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "120415",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "975 Sereno Dr",
"city": "Vallejo",
"state": "CA",
"country_code": "US",
"postal_code": "945892441",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.