Individual provider Active NPI

Jacob Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Bakersfield, CA
National Provider Identifier
1699421909
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001709 Issued in CA
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone
(661) 326-2200
NPI assigned
Feb 24, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001709 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Mailing address

21405 Quail Springs Rd
Tehachapi, CA 93561-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220401001217 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567858491 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Anesthesia Associates IncGroup PAC ID 6002975489, 77 clinicians
Regional Anesthesia Associates IncGroup PAC ID 7810275096, 45 clinicians
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians

Practice addresses (Care Compare)

1100 Magellan Dr
Tehachapi, CA 93561-1380
Phone (661) 823-3000

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

4500 Morning Dr
Suite 102
Bakersfield, CA 93306-7276
Phone (661) 437-4140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Anesthesia Associates Inc Single Specialty CurrentSince Nov 15, 2023 Accepting new patients
Community Foundation Medical Group CurrentSince Mar 1, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Mar 1, 2022 Accepting new patients
Garrett S Hilt Certified Registered Nursing Anesthesia Inc Single Specialty CurrentSince Apr 26, 2022 Accepting new patients
Valley Regional Anesthesia Associates Inc Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
Excelle Anesthesia Services, Inc. Single Specialty CurrentSince Jan 6, 2025 Accepting new patients
Community Foundation Medical Group Single Specialty Current Accepting new patients
Regional Anesthesia Associates Inc Single Specialty CurrentSince Mar 1, 2022 Accepting new patients

Locations

860 Oak Park Blvd
Ste 102
Arroyo Grande, CA 93420
Phone (805) 458-8661

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1699421909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21405 QUAIL SPRINGS RD",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935616810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.