Individual provider Active NPI

Carlos Sanabria Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
National Provider Identifier
1861138265
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95001795 Issued in CA
Practice address
2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Phone
(678) 690-7804
NPI assigned
May 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95266562 CA
Certified Registered Nurse Anesthetist 367500000X NA95001795 CA Primary

Addresses

Primary practice location

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280

Mailing address

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Phone (678) 690-7804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728003525 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517349129 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mai Nursing Anesthesia PCGroup PAC ID 2567858764, 35 clinicians
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

2160 W Grant Line Rd
Suite 120
Tracy, CA 95377-7331
Phone (209) 836-5680

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95266562CAMDRegistered Nurse
95001795CAMDNurse Practitioner
NA95001795CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Oct 5, 2023 Accepting new patients
Mai Nursing Anesthesia PC CurrentSince Nov 28, 2024 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 5, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 5, 2023 Accepting new patients
Premier Anesthesia of California, PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients

Locations (25 of 35)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

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

160 Green Valley Rd
Freedom, CA 95019
Phone (831) 763-9700

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

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

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

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

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

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

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

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

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

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

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

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1861138265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "678-690-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "678-690-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANABRIA",
        "first_name": "CARLOS",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95266562",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.