Individual provider Active NPI

Jay Isaac Tipton, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1881931897
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA4367 Issued in CA
Practice address
2823 Fresno Street
Fresno, CA 93721-1365
Phone
(559) 459-6000
NPI assigned
Jan 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 651476 CA
Certified Registered Nurse Anesthetist 367500000X NA4367 CA Primary

Addresses

Primary practice location

2823 Fresno Street
Fresno, CA 93721-1365

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130410000109 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305082769 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Anesthesia Services a Medical Group IncGroup PAC ID 7315911567, 13 clinicians

Practice addresses (Care Compare)

1000 Greenley Rd
Sonora, CA 95370-5200
Phone (209) 536-5000

Hospital & facility affiliations

  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
651476CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur N Donaldson M D Inc CurrentSince Dec 13, 2018 Accepting new patients
Allied Anesthesia Medical Group Inc CurrentSince Mar 31, 2024 Accepting new patients
Sda Services of Ca CurrentSince Jun 1, 2021 Accepting new patients
Vinod C Bhan Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Sonora Anesthesia Services a Medical Group Inc CurrentSince Jul 1, 2014 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 6, 2023 Accepting new patients
Arthur N. Donaldson, M.D., Inc. CurrentSince Dec 13, 2018 Accepting new patients
Central California Anesthesiology Solutions Nurse Anesthetist, Certified Registered CurrentSince Dec 27, 2021 Accepting new patients
Arthur N Donaldson M D Inc CurrentSince Feb 26, 2019 Accepting new patients
Omni Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2013 Accepting new patients
Turlock Anesthesia Medical Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 40)

595 Stanislaus Ave
Ste A
Angels Camp, CA 95222
Phone (209) 736-5555

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

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

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

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

445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

25915 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (714) 394-6465

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

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

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

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

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

2 Upper Ragsdale Dr
Ste B160
Monterey, CA 93940
Phone (831) 333-4000

966 Cass St
Ste 150
Monterey, CA 93940
Phone (831) 649-1126

655 Munras Ave Ste 100
Ste 100
Monterey, CA 93940

Organizations & group practices 11

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 12

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": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1881931897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211365",
            "telephone_number": "559-459-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "JAY",
        "middle_name": "ISAAC",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "651476",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA4367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.