The Permanente Medical Group

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2271 Issued in CA

Legal business name

THE PERMANENTE MEDICAL GROUP

Practice address

280 W Macarthur Blvd
Oakland, CA 94611-5642

Phone

(510) 752-6238

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy W Craney, CRNA

Title

Chief Crna

Phone

(510) 752-6238

Specialties & licenses 1

Addresses

Tax ID family

The Permanente Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Permanente Medical Group

  • Certified Registered Nurse Anesthetist
  • Oakland, CA
  • NPI 1316001779
  NPD tax ID

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689738049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115642",
            "telephone_number": "510-752-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115642",
            "telephone_number": "510-752-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERMANENTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRANEY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF CRNA",
        "authorized_official_telephone_number": "510-752-6238",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Peterson-Chan Dental Group
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• The Resource Environment for Underprivileged Groups Enterprise, Inc.

• Certified Registered Nurse Anesthetist in Oakland, CA
• Providers in Oakland, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.