Individual provider Active NPI

Bernard Phillip Jones I, CRNA

  • Certified Registered Nurse Anesthetist
  • San Luis Obispo, CA
National Provider Identifier
1720102510
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1170 Issued in CA
Practice address
10 Santa Rosa St
Ste. 201
San Luis Obispo, CA 93405-5825
Phone
(805) 544-7246
Fax
(805) 782-8097
NPI assigned
Mar 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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 1170 CA Primary

Addresses

Primary practice location

10 Santa Rosa St
Ste. 201
San Luis Obispo, CA 93405-5825

Mailing address

PO Box 4659
San Luis Obispo, CA 93403-4659
Phone (805) 782-8132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824001160 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638152697 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians

Practice addresses (Care Compare)

3800 Janes Rd
Arcata, CA 95521-4742
Phone (707) 822-3621

Hospital & facility affiliations

  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 31, 2023 Accepting new patients
Sda Services of Ca CurrentSince Apr 1, 2024 Accepting new patients
Cep America - Anesthesia PC CurrentSince Nov 28, 2022 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Nov 28, 2022 Accepting new patients
Sonora Anesthesia Services a Medical Group Inc CurrentSince Sep 15, 2019 Accepting new patients
Cep America - Anesthesia PC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

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

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

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

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

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

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

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

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

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

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

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

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

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

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1720102510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4659",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934034659",
            "telephone_number": "805-782-8132",
            "fax_number": "805-597-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SANTA ROSA ST",
            "address_2": "STE. 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055825",
            "telephone_number": "805-544-7246",
            "fax_number": "805-782-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BERNARD",
        "middle_name": "PHILLIP",
        "name_suffix": "I",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.