NPIMap

Organization Active NPI

Sutter Creek OB Anesthesia Services, a Professional Nursing Corporatio

Doing business as Sutter Creek OB Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Sacramento, CA
National Provider Identifier
1841371937
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SUTTER CREEK OB ANESTHESIA SERVICES, A PROFESSIONAL NURSING CORPORATIO
Doing business as
Sutter Creek OB Anesthesia Services
Practice address
7500 Timberlake Way
Methodist Hospital
Sacramento, CA 95823
Phone
(916) 423-3000
NPI assigned
Oct 17, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Patrick McCulleyNPI 1609812429
Title
Administrator
Phone
(888) 270-0340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

7500 Timberlake Way
Methodist Hospital
Sacramento, CA 95823

Mailing address

PO Box 966
Sutter Creek, CA 95685-0966
Phone (888) 270-0340

Other identifiers 2

IdentifierTypeStateIssuer
GRN000080MedicaidCA
ZZZ05546ZOtherCABLUE SHIELD

Other names 1

  • Sutter Creek OB Anesthesia Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1841371937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956850966",
            "telephone_number": "888-270-0340",
            "fax_number": "888-270-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 TIMBERLAKE WAY",
            "address_2": "METHODIST HOSPITAL",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95823",
            "telephone_number": "916-423-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER CREEK OB ANESTHESIA SERVICES, A PROFESSIONAL NURSING CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "MCCULLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-270-0340"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRN000080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05546Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Creek OB Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.