NPIMap

Organization Active NPI

Nathan Adams Nursing Anesthesia Corporation

  • Certified Registered Nurse Anesthetist
  • Visalia, CA
National Provider Identifier
1891150009
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4028 Issued in CA
Legal business name
NATHAN ADAMS NURSING ANESTHESIA CORPORATION
Practice address
205 S West St
Suite B
Visalia, CA 93291-6112
Phone
(559) 625-9601
NPI assigned
Dec 15, 2015
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Nathan John Adams, CRNANPI 1033351739
Title
President
Phone
(775) 747-5050

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: 193400000X SINGLE SPECIALTY GROUP 367500000X 4028 CA Primary

Addresses

Primary practice location

205 S West St
Suite B
Visalia, CA 93291-6112

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
O20160107002707 CA Part B Supplier - Clinic/Group Practice 7618279613 Receives reassigned benefits from 15 practitioners
Practice locations: Fresno, CA; Visalia, CA

National Provider Directory

National Provider Directory

Locations

205 S West St
Ste B
Visalia, CA 93291
Phone (559) 625-9601

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1891150009",
    "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": "205 S WEST ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916112",
            "telephone_number": "559-625-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN ADAMS NURSING ANESTHESIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-747-5050",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.