Individual provider Active NPI

Patricia Larsen McKenna, CRNA

  • Certified Registered Nurse Anesthetist
  • San Francisco, CA
National Provider Identifier
1811972516
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
969 Issued in CA
Practice address
126 Everson St
San Francisco, CA 94131-2637
Phone
(408) 896-6000
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024083218 VA
Certified Registered Nurse Anesthetist 367500000X AC000279 MD
Certified Registered Nurse Anesthetist 367500000X RN59684 DC
Certified Registered Nurse Anesthetist 367500000X 969 CA Primary

Addresses

Primary practice location

126 Everson St
San Francisco, CA 94131-2637

Mailing address

126 Everson St
San Francisco, CA 94131-2637
Phone (408) 896-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091111000189 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153469291 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mai Nursing Anesthesia PCGroup PAC ID 2567858764, 35 clinicians

Practice addresses (Care Compare)

3540 Mendocino Ave
Suite 200
Santa Rosa, CA 95403-3639
Phone (800) 527-3745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
969CAMDCertified Registered Nurse Anesthetist
RN59684DCMDCertified Registered Nurse Anesthetist
AC000279MDMDCertified Registered Nurse Anesthetist
0024083218VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Anesthesia Inc CurrentSince Apr 14, 2019 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation CurrentSince Nov 1, 2020 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 25, 2001 Accepting new patients
California Anesthesia Network Nursing Services, PC CurrentSince Oct 1, 2011 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 25, 2001 Accepting new patients
Mai Nursing Anesthesia PC CurrentSince Feb 3, 2022 Accepting new patients

Locations

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

901 Campus Dr
Ste 310
Daly City, CA 94015
Phone (650) 755-0337

39350 Civic Center Dr
Ste 100
Fremont, CA 94538
Phone (510) 456-4600

3365 Solano Ave
Napa, CA 94558
Phone (707) 266-6878

1700 San Pablo Ave
Ste D
Pinole, CA 94564
Phone (510) 724-9500

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1160 Post St
San Francisco, CA 94109
Phone (415) 440-1100

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

5201 Norris Canyon Rd
Ste 100
San Ramon, CA 94583
Phone (925) 872-1700

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

3003 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-1607

3540 Mendocino Ave
Ste 200
Santa Rosa, CA 95403
Phone (707) 522-6200

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

2160 W Grant Line Rd
Ste 120
Tracy, CA 95377
Phone (209) 832-2095

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

700 S Parker Dr
Ste 8
Florence, SC 29501

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1811972516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 EVERSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312637",
            "telephone_number": "408-896-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 EVERSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312637",
            "telephone_number": "408-896-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN MCKENNA",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024083218",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC000279",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN59684",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.