Active NPI
Patricia Wilson, CRNA
- Certified Registered Nurse Anesthetist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2531
- Practice address
- 3600 Broadway
Oakland, CA 94611-5730 - Phone
- (510) 752-6238
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- 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 | 2531 | CA | Primary |
Addresses
Primary practice location
3600 Broadway
Oakland, CA 94611-5730
Mailing address
280 W Macarthur Blvd
Oakland, CA 94611-5642
Phone (510) 752-6238
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040607001102 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355323809 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Healthcare Partners PCMai Nursing Anesthesia PC
Practice addresses (Care Compare)
2089 Vale Rd
Suite 33
San Pablo, CA 94806-3850
Phone (510) 234-5012
429 Llywelyn Blvd
Campbell, CA 95008-1948
Phone (408) 364-1616
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2531 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Atchison Crna Inc, a Professional Nursing Corp. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mai Nursing Anesthesia PC | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| Executive Gi Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia VI PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| SRM Alliance Hospital Services | Past | Accepting new patients |
Locations (25 of 28)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
1860 El Camino Real
Ste 101
Burlingame, CA 94010
Phone (650) 552-0700
429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000
1320 El Capitan Dr
Ste 110
Danville, CA 94526
Phone (925) 232-0090
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
280 W MacArthur Blvd
Oakland, CA 94611
Phone (510) 596-1000
3600 Broadway
Oakland, CA 94611
Phone (510) 752-6238
50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375
1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2089 Vale Rd
Ste 33
San Pablo, CA 94806
Phone (510) 234-5012
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
3003 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-1607
3540 Mendocino Ave
Ste 200
Santa Rosa, CA 95403
Phone (707) 522-6200
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
2160 W Grant Line Rd
Ste 120
Tracy, CA 95377
Phone (209) 832-2095
Organizations & group practices 12
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
- Danville, CA
- NPI 1669730339
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Watsonville, CA
- NPI 1487221628
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Napa, CA
- NPI 1073542213
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Madera, CA
- NPI 1861020224
CA
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1770703886
-
- Rehabilitation Hospital Unit
- Napa, CA
- NPI 1609947282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1699832998",
"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": "3600 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115730",
"telephone_number": "510-752-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PATRICIA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "2531",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "275 W MacArthur Blvd",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946115641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.