Active NPI
Jeanne A Charney, CRNA
- Certified Registered Nurse Anesthetist
- Colton, CA
National Provider Identifier
1669457446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2411
- Practice address
- 400 N Pepper Ave
Anesthesia Department, 2ND Floor
Colton, CA 92324-1819 - Phone
- (909) 580-2440
- Fax
- (909) 889-7034
- NPI assigned
- Dec 14, 2005
- Last updated
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN535619 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 2411 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Anesthesia Department, 2ND Floor
Colton, CA 92324-1819
Mailing address
PO Box 765
Colton, CA 92324-0765
Phone (909) 580-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN5356190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN535619 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kris J Storkersen M D Inc | Past | Accepting new patients | |
| Arrowhead Anesthesia Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Colton, CA
- NPI 1942287487
-
- Ophthalmology Physician
- Colton, CA
- NPI 1679100721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1669457446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 765",
"city": "COLTON",
"state": "CA",
"postal_code": "923240765",
"telephone_number": "909-580-2440",
"fax_number": "909-889-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"address_2": "ANESTHESIA DEPARTMENT, 2ND FLOOR",
"city": "COLTON",
"state": "CA",
"postal_code": "923241819",
"telephone_number": "909-580-2440",
"fax_number": "909-889-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNEY",
"first_name": "JEANNE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "RN535619",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "2411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN5356190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.