Active NPI
Susan Eileen Morenz, CRNA
- Certified Registered Nurse Anesthetist
- Orange, CA
National Provider Identifier
1770634255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA775
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA775 | Other | CA | LICENSE |
| NA35787 | Other | NATIONAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 775 | CA | MD | Midwife |
| NA775 | CA | MD | Certified 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.