Organization Active NPI

Jane P. O'Brien Crna Nursing Services, Incorporated

  • Certified Registered Nurse Anesthetist
  • Paso Robles, CA
National Provider Identifier
1942627419
Registry record updated Mar 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4089 Issued in CA
Legal business name
JANE P. O'BRIEN CRNA NURSING SERVICES, INCORPORATED
Practice address
630 River Oaks Dr
Paso Robles, CA 93446-6337
Phone
(714) 595-6890
NPI assigned
Mar 23, 2014
Last updated
Mar 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2014

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

Authorized official

Name
Jane O'BrienNPI 1497053649
Title
Crna
Phone
(714) 595-6890

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 4089 CA Primary

Addresses

Primary practice location

630 River Oaks Dr
Paso Robles, CA 93446-6337

Mailing address

630 River Oaks Dr
Paso Robles, CA 93446-6337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150713000256 CA Part B Supplier - Clinic/Group Practice 7214249770 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis Obispo, CA; Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

620 California Blvd
Ste M
Sn Luis Obisp, CA 93401
Phone (805) 547-1070

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395532800000",
    "number": "1942627419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 RIVER OAKS DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934466337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 RIVER OAKS DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934466337",
            "telephone_number": "714-595-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE P. O'BRIEN CRNA NURSING SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-23",
        "last_updated": "2014-03-23",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "714-595-6890"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.