Active NPI
Jide Omosewo, CRNA
- Certified Registered Nurse Anesthetist
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 869357
- Practice address
- 1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155 - Phone
- (361) 573-6291
- Fax
- (361) 576-2434
- NPI assigned
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024169214 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA1477 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | 869357 | TX | Primary |
Addresses
Primary practice location
1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155
Mailing address
1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155
Phone (361) 573-6291
Other practice location 1
645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX, NM, CA, AZ, NC, MN, NE
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 W Norfolk Ave
Faith Regional Health Services
Norfolk, NE 68701-4438
Phone (402) 371-4880
420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 324-4647
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.77 of 100
- Quality
- 67.03
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 869357 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services of San Joaquin, P.C. | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| FRSC Anesthesia LLC | Current | Accepting new patients | |
| Coachella Valley Anesthesia a Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Southeastern Regional Medical Center | Past | Accepting new patients | |
| Northeast Nebraska Surgery Center LLC | Past | Accepting new patients | |
| Southeastern Regional Medical Center | Past | Accepting new patients |
Locations (25 of 30)
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
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
1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633
44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
Organizations & group practices 13
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.
-
dba Arunkumar Thunga
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1013662048
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1316661275
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
Nurse Anesthetist, Certified Registered
-
dba Faith Regional Surgery Center
- Ambulatory Surgical Clinic/Center
- Norfolk, NE
- NPI 1861497380
-
dba Southeastern Urgent Care Lumberton
- Urgent Care Clinic/Center
- Lumberton, NC
- NPI 1063779114
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1467538520
-
dba Faith Health
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1881991339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN",
"address_2": "SUITE 101",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042155",
"telephone_number": "361-573-6291",
"fax_number": "361-576-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E MOCKINGBIRD LN",
"address_2": "SUITE 101",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042155",
"telephone_number": "361-573-6291",
"fax_number": "361-576-2434"
}
],
"practiceLocations": [
{
"address_1": "645 E Missouri Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850121351",
"country_code": "US",
"telephone_number": "602-262-8917",
"fax_number": "602-262-8890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMOSEWO",
"first_name": "JIDE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024169214",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA1477",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "869357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.