Organization Active NPI

Tipton Anesthesia, a Professional Anesthesia Nursing Corporation

  • Anesthesiology Physician
  • Turlock, CA
National Provider Identifier
1710450143
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TIPTON ANESTHESIA, A PROFESSIONAL ANESTHESIA NURSING CORPORATION
Practice address
1801 Colorado Ave Ste 140
Turlock, CA 95382-2711
Phone
(209) 216-3470
Fax
(209) 216-3475
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Jay Tipton, CRNA
Title
Crna / Owner
Phone
(209) 216-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1801 Colorado Ave Ste 140
Turlock, CA 95382-2711

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other practice location 1

609 E Orangeburg Ave Bldg B
Modesto, CA 95350-5512
Phone (209) 527-6700

National Provider Directory

National Provider Directory

Locations

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1710450143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE STE 140",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822711",
            "telephone_number": "209-216-3470",
            "fax_number": "209-216-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 E Orangeburg Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505512",
            "country_code": "US",
            "telephone_number": "209-527-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIPTON ANESTHESIA, A PROFESSIONAL ANESTHESIA NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CRNA / OWNER",
        "authorized_official_telephone_number": "209-216-3470",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.