NPIMap

Organization Active NPI

Credence Anesthesia Corporation

  • Certified Registered Nurse Anesthetist
  • Oxnard, CA
National Provider Identifier
1881381002
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CREDENCE ANESTHESIA CORPORATION
Practice address
2000 Outlet Center Dr Ste 225
Oxnard, CA 93036-0605
Phone
(805) 643-3330
NPI assigned
Apr 18, 2023
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Frank C Buzugbe, DNAPNPI 1790413177
Title
Ceo/President
Phone
(908) 922-5295

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 AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

2000 Outlet Center Dr Ste 225
Oxnard, CA 93036-0605

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230526001011 CA Part B Supplier - Clinic/Group Practice 9133586639 Receives reassigned benefits from 32 practitioners
Practice locations: Anaheim, CA; Ventura, CA; Van Nuys, CA; Torrance, CA; Reseda, CA; Palmdale, CA; Oxnard, CA; Palm Desert, CA…

National Provider Directory

National Provider Directory

Locations

42135 10th St W
#325
Lancaster, CA 93534
Phone (559) 375-2101

2000 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 643-3332

36915 Cook St
Ste 103B
Palm Desert, CA 92211
Phone (760) 340-1003

38920 Trade Center Dr
Ste A
Palmdale, CA 93551
Phone (661) 488-7048

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1881381002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OUTLET CENTER DR STE 225",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360605",
            "telephone_number": "805-643-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENCE ANESTHESIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BUZUGBE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "908-922-5295",
        "authorized_official_credential": "DNAP"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.