Active NPI
Joseph S Mackley, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA2200
- Practice address
- 7152 N Sharon Ave
104
Fresno, CA 93720-3361 - Phone
- (559) 447-4898
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA2200 | CA | Primary |
Addresses
Primary practice location
7152 N Sharon Ave
104
Fresno, CA 93720-3361
Mailing address
PO Box 3776
Pinedale, CA 93650-3776
Phone (559) 436-0871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2200 | CA | MD | Occupational Therapist |
| NA2200 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hypnos Anesthesia a Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Comprehensive Anesthesia, a California Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Evexia Wellness Centers Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600
7152 N Sharon Ave
Ste 104
Fresno, CA 93720
Phone (559) 447-4898
1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Clovis, CA
- NPI 1205856655
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fresno, CA
- NPI 1912732637
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Clovis, CA
- NPI 1417559030
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679503247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3776",
"city": "PINEDALE",
"state": "CA",
"postal_code": "936503776",
"telephone_number": "559-436-0871",
"fax_number": "559-436-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7152 N SHARON AVE",
"address_2": "104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203361",
"telephone_number": "559-447-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLEY",
"first_name": "JOSEPH",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA2200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.