Bay to Bay Anesthesia Inc, a Professional Nursing Corporation

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

BAY TO BAY ANESTHESIA INC, A PROFESSIONAL NURSING CORPORATION

Practice address

2222 Ocean Street Ext
Santa Cruz, CA 95060-1726

Phone

(316) 204-1901

NPI assigned

Jun 18, 2018

Last updated

Jun 18, 2018By 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

Mark Keller, CRNA

Title

Owner

Phone

(316) 204-1901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1699269209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 OCEAN STREET EXT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 OCEAN STREET EXT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601726",
            "telephone_number": "316-204-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY TO BAY ANESTHESIA INC, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-204-1901",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Santa Cruz, CA
• Providers in Santa Cruz, 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 Jun 18, 2018; 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.