NPIMap

Organization Active NPI

Advanced Anesthesia Incorporated

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1720543762
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ADVANCED ANESTHESIA INCORPORATED
Practice address
9479 N Fort Washington Rd Ste 103
Fresno, CA 93730-5939
Phone
(559) 289-4574
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Joseph Martin, CRNANPI 1003239336
Title
Owner
Phone
(559) 289-4574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

9479 N Fort Washington Rd Ste 103
Fresno, CA 93730-5939

Mailing address

PO Box 34120
Reno, NV 89533-4120

Other practice location 1

568 E Herndon Ave Ste 103
Fresno, CA 93720-2989
Phone (559) 450-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221201003183 NV Part B Supplier - Clinic/Group Practice 4880936145 Receives reassigned benefits from 7 practitioners
Practice locations: Las Vegas, NV
O20230202000571 AZ Part B Supplier - Clinic/Group Practice 4880936145 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Havasu City, AZ; Yuma, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1720543762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9479 N FORT WASHINGTON RD STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937305939",
            "telephone_number": "559-289-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "568 E Herndon Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202989",
            "country_code": "US",
            "telephone_number": "559-450-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED ANESTHESIA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-289-4574",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.