Individual provider Active NPI

Diego R. Cavenaghi, CRNA

  • Certified Registered Nurse Anesthetist
  • Bakersfield, CA
National Provider Identifier
1780962175
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4077 Issued in CA
Practice address
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone
(661) 326-2128
NPI assigned
Aug 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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 4077 CA Primary

Addresses

Primary practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Mailing address

18666 Clubhouse Dr
Yorba Linda, CA 92886-7057
Phone (951) 823-2413

Other identifiers 1

IdentifierTypeStateIssuer
1780962175MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000135 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739350919 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Creek Anesthesia Services IncGroup PAC ID 9739509407, 62 clinicians
Vasa Anesthesia Professional CorporationGroup PAC ID 9133665482, 22 clinicians

Practice addresses (Care Compare)

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

8741 Alden Dr
Suite C
Los Angeles, CA 90048-3692
Phone (323) 693-8832

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Merit-based Incentive Payment System (MIPS)

Final score
81.66 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4077CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC CurrentSince Apr 1, 2024 Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
HP Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Aug 1, 2023 Accepting new patients
Relevo Health PC CurrentSince Oct 9, 2023 Accepting new patients
Cep America - Anesthesia PC CurrentSince Apr 1, 2024 Accepting new patients
Relevo Health PC CurrentSince Oct 9, 2023 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Vasa Anesthesia Services Associates Nurse Anesthetist, Certified Registered Current Accepting new patients
Vasa Anesthesia Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 21, 2024 Accepting new patients
Oak Creek Anesthesia Services, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Center for Advanced Cardiac and Vascular Interventions Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Sircar Inc Past Accepting new patients

Locations (25 of 33)

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

5020 Commerce Dr
Bakersfield, CA 93309

11760 Central Ave
Ste 204
Chino, CA 91710
Phone (909) 632-1225

900 E Washington St
Ste 155
Colton, CA 92324
Phone (909) 370-2190

1101 Bayside Dr
Corona del Mar, CA 92625
Phone (949) 718-6900

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1251 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 851-4705

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

840 S Fairmont Ave
Ste 1
Lodi, CA 95240
Phone (209) 371-8700

8741 Alden Dr
Ste C
Los Angeles, CA 90048
Phone (323) 693-8832

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

8741 Alden Dr
Ste B
Los Angeles, CA 90048
Phone (951) 556-2665

1300 N Vermont Ave
Ste 407
Los Angeles, CA 90027
Phone (323) 627-4874

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

25485 Medical Center Dr
Ste 106
Murrieta, CA 92562
Phone (585) 755-0523

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

7300 Magnolia Ave
Riverside, CA 92504
Phone (951) 278-8870

3410 La Sierra Ave
Ste F510
Riverside, CA 92503
Phone (909) 227-5139

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

2621 S Bristol St
Ste 108
Santa Ana, CA 92704
Phone (714) 241-9070

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

2220 Lynn Rd
Ste 301
Thousand Oaks, CA 91360
Phone (805) 495-1073

25751 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-1315

25751 McBean Pkwy
Ste 105
Valencia, CA 91355
Phone (661) 200-1315

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1780962175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18666 CLUBHOUSE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867057",
            "telephone_number": "951-823-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENAGHI",
        "first_name": "DIEGO",
        "middle_name": "R.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780962175",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.