Cresta Ventosa Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2712 Issued in CA

Legal business name

CRESTA VENTOSA INC

Practice address

11216 Trinity River Dr
Rancho Cordova, CA 95670-2968

Phone

(916) 635-6161

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Scott Stephen Minnick, CRNA

Title

Owner

Phone

(209) 245-5559

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Minnick Medical Management Doing business as

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1619101433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 TRINITY RIVER DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702968",
            "telephone_number": "916-635-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTA VENTOSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-245-5559",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA LICENSE",
            "identifier": "2712",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "488921",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnick Medical Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Cousins
• Laura Jean Covello, M.A., CCC-A, M.ED.
• Cover My Supply Inc
• Killian Cox
• Elizabeth Crawford
• Claire Cronland
• Scott Crosby, PT
• Nicole Cruz, M.S., B.C.B.A.,
• Philipp L Cruz, RN
• Zhuhua NA Cui, L.AC

• Certified Registered Nurse Anesthetist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.