Individual provider Active NPI

Kenneth Paul Cartwright, M.D.

  • Anesthesiology Physician
  • Arcata, CA
National Provider Identifier
1659586451
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A69363 Issued in CA
Practice address
3800 Janes Rd
Arcata, CA 95521
Phone
(707) 822-3621
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A69363 CA Primary

Addresses

Primary practice location

3800 Janes Rd
Arcata, CA 95521

Mailing address

711 Park Way
Lakeport, CA 95453
Phone (707) 263-7770

Other practice location 1

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050323001423 CA Practitioner - AnesthesiologyPractitioner - Family PracticePractitioner - Physical Medicine and Rehabilitation 4587610415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians

Practice addresses (Care Compare)

3800 Janes Rd
Arcata, CA 95521-4742
Phone (707) 822-3621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69363CAMDPharmacist
A69363CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Anesthesia Services a Medical Group Inc Anesthesiology CurrentSince Nov 4, 2019 Accepting new patients
Sda Services of Ca Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Jun 2, 2018 Accepting new patients
Valley Anesthesia Associates, Inc. Anesthesiology CurrentSince May 1, 2017 Accepting new patients

Locations

3800 Janes Rd
Rm 138
Arcata, CA 95521
Phone (707) 442-4848

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

2620 Chester Ave
Bakersfield, CA 93301
Phone (661) 323-4673

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

5974 Pentz Rd
#1112
Paradise, CA 95969

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 4

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 1

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1659586451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 PARK WAY",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "95453",
            "telephone_number": "707-263-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "95521",
            "telephone_number": "707-822-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5176 Hill Rd E",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954536300",
            "country_code": "US",
            "telephone_number": "707-262-5107",
            "fax_number": "707-262-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A69363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.