Active NPI
Jerry Hong Nguyen, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002433
- Practice address
- 9479 N Fort Washington Rd Ste 103
Fresno, CA 93730-5939 - Phone
- (559) 289-4574
- NPI assigned
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002433 | CA | Primary |
Addresses
Primary practice location
9479 N Fort Washington Rd Ste 103
Fresno, CA 93730-5939
Mailing address
7952 Carlyle Dr
Riverside, CA 92509-6131
Phone (951) 756-0548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
Practice addresses (Care Compare)
1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 578-1211
Hospital & facility affiliations
- Emanuel Medical Center
- Doctors Hospital of Manteca
- Doctors Medical Center
- Dameron Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002433 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Anesthesia Incorporated | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients |
Locations
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
9479 N Fort Washington Rd
Ste 103
Fresno, CA 93730
Phone (559) 289-4574
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
580 E Plumb Ln
Reno, NV 89502
Phone (775) 826-7474
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Certified Registered Nurse Anesthetist
- Fresno, CA
- NPI 1720543762
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1750114328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7952 CARLYLE DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925096131",
"telephone_number": "951-756-0548"
},
{
"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": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JERRY",
"middle_name": "HONG",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002433",
"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 Aug 20, 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.