Individual provider Active NPI

Nathaniel Soriano, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Defiance, AZ
National Provider Identifier
1871507376
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2307 Issued in CA
Practice address
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone
(928) 729-8740
NPI assigned
Jul 28, 2006
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2307 CA Primary

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance, AZ 86504

Mailing address

209 Sassafras Dr
Madera, CA 93637-5027
Phone (661) 633-2300

Other practice location 1

1205 Garces Hwy Ste 208
Delano, CA 93215-3658
Phone (661) 725-4800

Other identifiers 2

IdentifierTypeStateIssuer
RN3301300MedicaidCA
NA0023070OtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040429000487 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244227379 Reassigns benefits to 4 organizations
I20080219000305 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244227379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HP Anesthesia IncGroup PAC ID 6608009766, 34 clinicians
Comfort Anesthesia Associates IncGroup PAC ID 6002975489, 77 clinicians
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (213) 413-3000

1401 Garces Hwy
Delano, CA 93215-3690
Phone (661) 725-4800

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Anesthesia Associates Inc CurrentSince Apr 1, 2018 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 31, 2022 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Dec 1, 2022 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Apr 2, 2024 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jan 30, 2025 Accepting new patients
HP Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

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

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

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

9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

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

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

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

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

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

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

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

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

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1871507376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SASSAFRAS DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375027",
            "telephone_number": "661-633-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Garces Hwy Ste 208",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932153658",
            "country_code": "US",
            "telephone_number": "661-725-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN3301300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "NA0023070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.