Individual provider Active NPI

Samuel Martinez-Morales, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1730619545
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
120325 Issued in OK
Practice address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone
(405) 715-3610
Fax
(405) 715-3612
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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 120325 OK Primary

Addresses

Primary practice location

9600 Broadway Ext
Oklahoma City, OK 73114-7408

Mailing address

301 W Britton Rd Unit 13618
Oklahoma City, OK 73113-4787
Phone (405) 715-3610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108003085 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800167453 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Anesthesia Associates IncGroup PAC ID 6002975489, 77 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120325OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Anesthesia, a California Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2022 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 1, 2022 Accepting new patients
Comfort Anesthesia Associates Inc CurrentSince Jan 1, 2021 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Jan 1, 2023 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2022 Accepting new patients
Community Foundation Medical Group Current Accepting new patients

Locations

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

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

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

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

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

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200

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

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

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

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

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

360 E Yosemite Ave
Ste 200
Merced, CA 95340
Phone (209) 354-4675

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

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

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

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

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

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

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 7

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 1

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1730619545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BRITTON RD UNIT 13618",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731134787",
            "telephone_number": "405-715-3610",
            "fax_number": "405-715-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147408",
            "telephone_number": "405-715-3610",
            "fax_number": "405-715-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-MORALES",
        "first_name": "SAMUEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "120325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.