Individual provider Active NPI

Susan Eileen Morenz, CRNA

  • Certified Registered Nurse Anesthetist
  • Orange, CA
National Provider Identifier
1770634255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA775 Issued in CA
Practice address
10735 Orange Park Blvd
Orange, CA 92869-1623
Phone
(714) 538-4036
Fax
(714) 538-5226
NPI assigned
Jan 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NA775 CA Primary

Addresses

Primary practice location

10735 Orange Park Blvd
Orange, CA 92869-1623

Mailing address

10735 Orange Park Blvd
Orange, CA 92869-1623
Phone (714) 538-4036

Other identifiers 2

IdentifierTypeStateIssuer
NA775OtherCALICENSE
NA35787OtherNATIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
775CAMDMidwife
NA775CAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770634255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 ORANGE PARK BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928691623",
            "telephone_number": "714-538-4036",
            "fax_number": "714-538-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 ORANGE PARK BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928691623",
            "telephone_number": "714-538-4036",
            "fax_number": "714-538-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENZ",
        "first_name": "SUSAN",
        "middle_name": "EILEEN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "NA775",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL LICENSE",
            "identifier": "NA35787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.