Organization Active NPI

Deloge Anesthesia Services Inc a Professional Nursing Corporation

  • Certified Registered Nurse Anesthetist
  • San Rafael, CA
National Provider Identifier
1861917841
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
DELOGE ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION
Doing business as
DELOGE ANESTHESIA SERVICE INC
Practice address
901 E St
San Rafael, CA 94901-2850
Phone
(415) 775-1555
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Dr. Jon Alan Deloge, DNAP, CRNA
Title
Nurse Anesthetist
Phone
(810) 691-0773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

901 E St
San Rafael, CA 94901-2850

Mailing address

370 Wilson Way
Larkspur, CA 94939-1939
Phone (810) 691-0773

Other names 1

  • DELOGE ANESTHESIA SERVICE INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1861917841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 WILSON WAY",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391939",
            "telephone_number": "810-691-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012850",
            "telephone_number": "415-775-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELOGE ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "DELOGE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "810-691-0773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNAP, CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELOGE ANESTHESIA SERVICE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.