Individual provider Active NPI

Gina J Yan, REGISTERED NURSE

  • Certified Registered Nurse Anesthetist
  • Hacienda Heights, CA
National Provider Identifier
1750062923
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002438 Issued in CA
Practice address
17074 Colima Rd Apt 306
Hacienda Heights, CA 91745-6782
Phone
(909) 348-2329
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 805817 CA
Certified Registered Nurse Anesthetist 367500000X 95002438 CA Primary

Addresses

Primary practice location

17074 Colima Rd Apt 306
Hacienda Heights, CA 91745-6782

Mailing address

17074 Colima Rd Apt 306
Hacienda Heights, CA 91745-6782
Phone (909) 348-2329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029001742 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628501665 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Anesthesia Associates IncGroup PAC ID 7810275096, 45 clinicians
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

2335 E Kashian LN
Fresno, CA 93701-2234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
805817CAMDRegistered Nurse
95002438CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince May 1, 2025 Accepting new patients
Community Foundation Medical Group CurrentSince May 1, 2025 Accepting new patients
Excelle Anesthesia Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Sep 22, 2024 Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

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

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

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

1390 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 580-3400

Organizations & group practices 5

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 6

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": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1750062923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17074 COLIMA RD APT 306",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456782",
            "telephone_number": "909-348-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17074 COLIMA RD APT 306",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456782",
            "telephone_number": "909-348-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "GINA",
        "middle_name": "J",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "805817",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.