Active NPI
Dorothy Deguzman Yancik
- Certified Registered Nurse Anesthetist
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4352
- Practice address
- 1600 Eureka Rd
Roseville, CA 95661-3027 - Phone
- (916) 784-4000
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- 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 | 4352 | CA | Primary |
Addresses
Primary practice location
1600 Eureka Rd
Roseville, CA 95661-3027
Mailing address
1600 Eureka Rd
Roseville, CA 95661-3027
Other practice location 1
4150 V St Ste 1200
Sacramento, CA 95817-1460
Phone (619) 964-5544
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 E Roseville Pkwy
Suite 100
Roseville, CA 95661-3080
Phone (916) 677-2488
1600 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 784-4000
1643 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 973-5300
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
2700 Low CT
FL 2
Fairfield, CA 94534-9778
Phone (707) 432-2700
4860 Y St
Sacramento, CA 95817-2307
4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525
7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Green Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients |
Locations (25 of 32)
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
1238 West St
Redding, CA 96001
Phone (530) 241-5499
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
4 Medical Plaza Dr
Ste 210
Roseville, CA 95661
Phone (916) 773-8780
1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777
1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488
2801 K St
#525
Sacramento, CA 95816
Phone (916) 733-5017
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2425 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
Organizations & group practices 14
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
- Fairfield, CA
- NPI 1457039331
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
dba Briggsmore Surgery Center
- Ambulatory Surgical Clinic/Center
- Modesto, CA
- NPI 1346615150
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1457593980
-
dba Stockton Surgery Center
- Ambulatory Surgical Clinic/Center
- Stockton, CA
- NPI 1467825844
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Ambulatory Surgical Clinic/Center
- Elk Grove, CA
- NPI 1972877264
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1841373800
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Davis Medical Center
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1962740894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 EUREKA RD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EUREKA RD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613027",
"telephone_number": "916-784-4000"
}
],
"practiceLocations": [
{
"address_1": "4150 V St Ste 1200",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958171460",
"country_code": "US",
"telephone_number": "619-964-5544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANCIK",
"first_name": "DOROTHY",
"middle_name": "DEGUZMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2024-01-16",
"certification_date": "2023-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "4352",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1600 Eureka Rd",
"city": "Roseville",
"state": "CA",
"country_code": "US",
"postal_code": "956613027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.