Kaiser Permanente

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2294 Issued in CA

Legal business name

KAISER PERMANENTE

Practice address

4920 Huntridge LN
Fair Oaks, CA 95628-4823

Phone

(916) 863-0818

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Beatty, CRNA

Title

Assistant Chief Crna

Phone

(916) 973-7696

Specialties & licenses 1

Addresses

Tax ID family

Kaiser Permanente2 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.

• Kaiser Permanente

  • Certified Registered Nurse Anesthetist
  • Sacramento, CA
  • NPI 1013088459
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Laing, CRNA

  • Registered Nurse
  • Sacramento, CA
  • NPI 1881613818

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689753113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MORSE AVE",
            "address_2": "ANESTHESIA DEPARTMENT 2ND FLOOR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252115",
            "telephone_number": "916-973-7696",
            "fax_number": "916-973-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 HUNTRIDGE LN",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284823",
            "telephone_number": "916-863-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ASSISTANT CHIEF CRNA",
        "authorized_official_telephone_number": "916-973-7696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Gray Chiropractic Center Corp
• Jinyoung Jung-Kim, DDS
• Jared Jung
• Zubin Kachhi, PHARM.D
• Elizabeth J Kailath, MD,MPH
• Teena Leya Kalapurayil, PA-C
• Dheeraj Kamra, MD
• Sandeep Kaur Kandola
• Lilia Kapnik
• Ramouna Karvar, D.M.D.

• Certified Registered Nurse Anesthetist in Fair Oaks, CA
• Providers in Fair Oaks, 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.