NPIMap

Johanne Daniel, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Vallejo, CA

NPI 1649544933 · NPPES record last updated Oct 24, 2024

Key facts

NPI
1649544933
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
RN330027 (GA)
Practice address
975 Sereno Dr
Vallejo, CA 94589-2441
Phone
(707) 651-1000
NPI assigned
Mar 4, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Anesthesia Consultants LLC (20 clinicians)
Blue Eagle Anesthesia Inc a Professional Corporation (24 clinicians)

Practice addresses (Care Compare)

201 Kimberly Way
Suite 104
Canton, GA 30114-8009
Phone (678) 381-2020

901 Campus Dr
Suite 310
Daly City, CA 94015-4930
Phone (650) 755-0733

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100 (group)
Quality
59.22
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in CA, GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120507000426 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971765025 Reassigns benefits to 2 organizations
I20241118001648 GA Practitioner - Anesthesiology 3971765025
I20250321002266 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971765025 Reassigns benefits to 11 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Current
since Oct 16, 2024		 Accepting new patients
Advanced Urology Institute of Georgia Current Accepting new patients
Advanced Urology Institute of Georgia Current
since Feb 11, 2025		 Accepting new patients
Mulkey Anesthesiology Associates LLC Current Accepting new patients
Advanced Gynecology PC Current
since Dec 4, 2024		 Accepting new patients
Permanente Medical Group, Inc Current
since Mar 4, 2012		 Accepting new patients
CPM Surgery Center 3, LLC Current
since Nov 1, 2024		 Accepting new patients
Permanente Medical Group Inc Current
since Mar 4, 2012		 Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation Current
since Dec 1, 2022		 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Northern Georgia Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Current
since Jul 1, 2025		 Accepting new patients
Mae Anesthesiology LLC Nurse Anesthetist, Certified Registered Current
since Apr 7, 2025		 Accepting new patients
Buford Eye Surgery Center Past Accepting new patients
Alpharetta Eye Surgery Center LLC Past Accepting new patients
Roswell Eye Surgery Center, LLC Past Accepting new patients
Forsyth Eye Surgery Center, LLC Past Accepting new patients

Locations

901 Campus Dr
Ste 310
Daly City, CA 94015
Phone (650) 755-0337

1800 Harrison St
Fl 7
Oakland, CA 94612

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1160 Post St
San Francisco, CA 94109
Phone (415) 440-1100

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

3280 Howell Mill Rd NW
Ste T150
Atlanta, GA 30327
Phone (404) 355-3200

3870 Medical Park Dr
Ste 100
Austell, GA 30106

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

201 Kimberly Way
Ste 104
Canton, GA 30114

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101

1371 Church Street Ext NE
#100
Marietta, GA 30060

3775 Roswell Rd
Ste 175
Marietta, GA 30062

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

5669 Ptree Dunwoody Rd NE
Ste 210
Sandy Springs, GA 30342
Phone (404) 255-4333

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4154 CA
Certified Registered Nurse Anesthetist 367500000X RN330027 GA Yes

Addresses

Primary practice location

975 Sereno Dr
Vallejo, CA 94589-2441

Mailing address

11044 Alpharetta Hwy Apt 2308
Roswell, GA 30076-5744

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Other providers in Vallejo, CA

All providers in Vallejo, CA · Certified Registered Nurse Anesthetist in California

Sources for this page

Verify at the official NPI Registry.