Jonathan Gardner, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA95000629 Issued in CA

Practice address

2823 Fresno & R St
Fresno, CA 93721-1324

Phone

(559) 459-6000

Fax

(559) 498-8182

NPI assigned

Aug 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, NH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Clinic - Wood River LLCGroup PAC ID 3173783818, 66 clinicians

Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Littleton Hospital Association

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Medicare reassignment Care Compare group NPD
• St Lukes Clinic - Wood River LLC

  • Internal Medicine Physician
  • Ketchum, ID
  • NPI 1972891604
  Medicare reassignment Care Compare group NPD
• Anesthesia Consulting Partners Idaho, PC

  • Anesthesiology Physician
  • Caldwell, ID
  • NPI 1568241362

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Boise Anesthesia, P a

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1487602298

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Littleton Hospital Association

  • Durable Medical Equipment & Medical Supplies
  • Littleton, NH
  • NPI 1174398846
  NPD
• Littleton Hospital Association

  • Rural Health Clinic/Center
  • Littleton, NH
  • NPI 1811944523
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Littleton Hospital Association

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Care Compare affiliation

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1790230886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO & R ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-6000",
            "fax_number": "559-498-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JONATHAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95000629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Garcilazo
• Garden Manor, Inc.
• Gardenia Senior Care Center Inc
• Vassi Ann Gardikas, MD
• Abbeygail Gardner
• Joshua Adam Gardner, OD
• Justin Wayne Gardner
• Ryan Gardner
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC

• Certified Registered Nurse Anesthetist in Fresno, CA
• Providers in Fresno, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.