Individual provider Active NPI

Bridget Tracy, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Huntington Beach, CA
National Provider Identifier
1649466327
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0675 Issued in CA
Practice address
7561 Quiet Cove Cir
Huntington Beach, CA 92648-6826
Phone
(714) 292-9297
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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 0675 CA Primary

Addresses

Primary practice location

7561 Quiet Cove Cir
Huntington Beach, CA 92648-6826

Mailing address

7561 Quiet Cove Cir
Huntington Beach, CA 92648-6826
Phone (714) 292-9297

Other identifiers 1

IdentifierTypeStateIssuer
301574OtherCABRN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090216000195 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719964295 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Landmark Anesthesia Medical GroupGroup PAC ID 5698055804, 19 clinicians

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (714) 503-0195

555 E Hardy St
Inglewood, CA 90301-4011
Phone (714) 503-0195

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0675CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Feb 1, 2024 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Feb 1, 2024 Accepting new patients
Landmark Anesthesia Medical Group CurrentSince Jun 26, 2018 Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1649466327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7561 QUIET COVE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486826",
            "telephone_number": "714-292-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7561 QUIET COVE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486826",
            "telephone_number": "714-292-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "BRIDGET",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "0675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "301574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.