Active NPI
Thomas Clinton Broach, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
National Provider Identifier
1902870058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA 1100
- Practice address
- 834 E Catalina Cir
Fresno, CA 93720-0856 - Phone
- (559) 434-0521
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA 1100 | CA | Primary |
| Registered Nurse | 163W00000X | 265333 | CA |
Addresses
Primary practice location
834 E Catalina Cir
Fresno, CA 93720-0856
Mailing address
834 E Catalina Cir
Fresno, CA 93720-0856
Phone (559) 434-0521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA 1100 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Adams Nursing Anesthesia Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7405 N Fresno St
Fresno, CA 93720
Phone (559) 438-8400
820 S Akers St
Ste 120
Visalia, CA 93277
Phone (559) 625-9601
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Visalia, CA
- NPI 1891150009
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902870058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 E CATALINA CIR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200856",
"telephone_number": "559-434-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 E CATALINA CIR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200856",
"telephone_number": "559-434-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROACH",
"first_name": "THOMAS",
"middle_name": "CLINTON",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA 1100",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "265333",
"primary": false
}
],
"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 Jul 13, 2026; 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.