Individual provider Active NPI

Johanne Daniel, CRNA

  • Certified Registered Nurse Anesthetist
  • Vallejo, CA
National Provider Identifier
1649544933
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN330027 Issued in GA
Practice address
975 Sereno Dr
Vallejo, CA 94589-2441
Phone
(707) 651-1000
NPI assigned
Mar 4, 2012
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

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

Addresses

Primary practice location

975 Sereno Dr
Vallejo, CA 94589-2441

Mailing address

11044 Alpharetta Hwy Apt 2308
Roswell, GA 30076-5744

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Eagle Anesthesia Inc a Professional CorporationGroup PAC ID 3577613017, 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 100Reported as group
Quality
59.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN330027GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Advanced Urology Institute of Georgia, LLC Current Accepting new patients
Advanced Gynecology PC CurrentSince Dec 4, 2024 Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation CurrentSince Dec 1, 2022 Accepting new patients
Mulkey Anesthesiology Associates LLC Current Accepting new patients
Atlanta Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Mar 4, 2012 Accepting new patients
Mae Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients
Northern Georgia Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Feb 11, 2025 Accepting new patients
CPM Surgery Center 3, LLC CurrentSince Nov 1, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Mar 4, 2012 Accepting new patients
Canton Eye Surgery Center CurrentSince Oct 16, 2024 Accepting new patients
Alpharetta Eye Surgery Center LLC Past Accepting new patients
Buford Eye Surgery Center Past Accepting new patients
Forsyth Eye Surgery Center, LLC Past Accepting new patients
Roswell Eye Surgery Center, LLC PastSince Dec 28, 2015 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

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

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

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
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

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

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

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

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

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

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1649544933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 ALPHARETTA HWY APT 2308",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765744"
        },
        {
            "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": "707-651-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JOHANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4154",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN330027",
            "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

Verify at the official NPI Registry.