Active NPI
Ronald W Wagner Jr., CRNA
- Certified Registered Nurse Anesthetist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA4061
- Practice address
- 2635 G St
Bakersfield, CA 93301-2813 - Phone
- (661) 633-1500
- Fax
- (661) 633-2700
- NPI assigned
- Feb 9, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 566138 | CA | |
| Registered Nurse | 163W00000X | 0001210184 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | NA4061 | CA | Primary |
Addresses
Primary practice location
2635 G St
Bakersfield, CA 93301-2813
Mailing address
2635 G St
Bakersfield, CA 93301-2813
Phone (661) 633-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001210184 | VA | MD | Registered Nurse |
| NA4061 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Anesthesiology of California PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Coachella Valley Anesthesia a Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Foundation Medical Group | Current | Accepting new patients | |
| MD Cyrus Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cencal Anesthesia and Nursing Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611
1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
Organizations & group practices 6
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
- Bakersfield, CA
- NPI 1013662048
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Anesthesiology Physician
- Murrieta, CA
- NPI 1699408229
Nurse Anesthetist, Certified Registered
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Certified Registered Nurse Anesthetist
- Hanford, CA
- NPI 1609175165
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hanford, CA
- NPI 1033386362
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1649419086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 G ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012813",
"telephone_number": "661-633-1500",
"fax_number": "661-633-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 G ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012813",
"telephone_number": "661-633-1500",
"fax_number": "661-633-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "RONALD",
"middle_name": "W",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-09",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "566138",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001210184",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA4061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.