Individual provider Active NPI

Christina Martindale

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1730678012
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000940 Issued in CA
Practice address
917 S 15TH Street
Philadelphia, PA 19146
Phone
(937) 626-9691
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 95000940 CA Primary

Addresses

Primary practice location

917 S 15TH Street
Philadelphia, PA 19146

Mailing address

917 S 15TH St
Philadelphia, PA 19146-2230
Phone (937) 626-9691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003000579 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597017558 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians

Practice addresses (Care Compare)

20998 Redwood Rd
Castro Valley, CA 94546-5918
Phone (510) 576-8500

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95000940CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sedaze Anesthesia Consultants a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Jun 30, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2018 Accepting new patients
Apa Medical Group, Inc. CurrentSince Apr 10, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2018 Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2018 Accepting new patients
University Anesthesia Medical Group CurrentSince Sep 1, 2018 Accepting new patients
Apmc Medical Group Inc Past Accepting new patients

Locations

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

20998 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-2828

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

10921 Wilshire Blvd
Ste 1111
Los Angeles, CA 90024
Phone (310) 208-0474

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

2288 Auburn Blvd
Ste 201
Sacramento, CA 95821
Phone (916) 646-8300

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1739 4th St
Santa Rosa, CA 95404
Phone (707) 528-6331

Organizations & group practices 9

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1730678012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462230",
            "telephone_number": "937-626-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S 15TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "937-626-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.