Active NPI
Robert Vincent Augat, CRNA
- Certified Registered Nurse Anesthetist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000244
- Practice address
- 1800 N California St
Stockton, CA 95204-6019 - Phone
- (310) 890-0169
- NPI assigned
- Dec 10, 2014
- Last updated
- Dec 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95000244 | CA | Primary |
Addresses
Primary practice location
1800 N California St
Stockton, CA 95204-6019
Mailing address
4030 Maritime CT
Stockton, CA 95219-2035
Phone (310) 890-0169
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 Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000244 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Mountains Community Hospital District | Current | Accepting new patients | |
| San Bernardino Mountains Community Hospital District | Current | Accepting new patients | |
| Landmark Anesthesia Medical Group | Current | Accepting new patients | |
| Augusta U. Ikhisemojie, M.D., a Professional Medical Corporation | Past | Accepting new patients |
Locations
2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243
555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Landmark Anesthesia Medical Group LLUMC
- Anesthesiology Physician
- Lynwood, CA
- NPI 1770035024
-
dba Mountains Community Hospital
- Critical Access Hospital
- Lake Arrowhead, CA
- NPI 1245380799
-
dba Mountains Community Hospital Rural Health Clinic
- Rural Health Clinic/Center
- Lake Arrowhead, CA
- NPI 1528172541
-
dba Omni Pain Clinic
- Interventional Pain Medicine Physician
- Riverside, CA
- NPI 1154412963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1932507704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 MARITIME CT",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192035",
"telephone_number": "310-890-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046019",
"telephone_number": "310-890-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGAT",
"first_name": "ROBERT",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.