Active NPI
Jeffrey Tevin Hen, CRNA
- Certified Registered Nurse Anesthetist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002301
- Practice address
- 4009 Kenny Dr
Stockton, CA 95212-3458 - Phone
- (209) 616-2310
- NPI assigned
- Jun 29, 2021
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 95159147 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 95002301 | CA | Primary |
Addresses
Primary practice location
4009 Kenny Dr
Stockton, CA 95212-3458
Mailing address
4009 Kenny Dr
Stockton, CA 95212-3458
Phone (209) 616-2310
Other practice location 1
460 Plumas Blvd Ste 202
Yuba City, CA 95991-5005
Phone (530) 749-5700
Other practice location 2
2702 Low Ct
Fairfield, CA 94534-9771
Phone (916) 733-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240404003198 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284072521 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 578-1211
Hospital & facility affiliations
- Doctors Medical Center
- Emanuel Medical Center
- Dameron Hospital
- Doctors Hospital of Manteca
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95159147 | CA | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Green Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Services of San Joaquin, P.C. | Current | Accepting new patients | |
| Advanced Anesthesia Incorporated | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3123 Professional Dr
Ste 100A
Auburn, CA 95603
Phone (530) 888-8899
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
9479 N Fort Washington Rd
Ste 103
Fresno, CA 93730
Phone (559) 289-4574
223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938
1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
1238 West St
Redding, CA 96001
Phone (530) 241-5499
4 Medical Plaza Dr
Ste 210
Roseville, CA 95661
Phone (916) 773-8780
1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488
7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000
2388 N California St
Stockton, CA 95204
Phone (209) 465-2711
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Organizations & group practices 9
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
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fresno, CA
- NPI 1720543762
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
Hospital
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1972173185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 KENNY DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952123458",
"telephone_number": "209-616-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 KENNY DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952123458",
"telephone_number": "209-616-2310"
}
],
"practiceLocations": [
{
"address_1": "460 Plumas Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Yuba City",
"state": "CA",
"postal_code": "959915005",
"country_code": "US",
"telephone_number": "530-749-5700",
"fax_number": "530-749-5720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2702 Low Ct",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945349771",
"country_code": "US",
"telephone_number": "916-733-8222",
"fax_number": "916-733-8224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEN",
"first_name": "JEFFREY",
"middle_name": "TEVIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "95159147",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002301",
"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 Jun 23, 2026; 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.