Organization Active NPI

Wellspring Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Arroyo Grande, CA
National Provider Identifier
1770533879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WELLSPRING ANESTHESIA ASSOCIATES
Practice address
860 Oak Park Blvd
Arroyo Grande, CA 93420-1800
Phone
(805) 474-6383
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Geise, CRNA
Title
President
Phone
(805) 474-6383

Specialties & licenses 1

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

Addresses

Primary practice location

860 Oak Park Blvd
Arroyo Grande, CA 93420-1800

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

National Provider Directory

National Provider Directory

Locations

860 Oak Park Blvd
Arroyo Grande, CA 93420
Phone (805) 474-6383

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770533879",
    "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",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OAK PARK BLVD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201800",
            "telephone_number": "805-474-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEISE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-474-6383",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.