Mateo Gennette Crna Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95000160 Issued in CA

Legal business name

MATEO GENNETTE CRNA INC

Practice address

901 Olive Dr
Bakersfield, CA 93308-4137

Phone

(661) 399-4461

Fax

(661) 399-7312

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Sandy Reed

Title

Manager

Phone

(661) 335-7755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1982111456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933032029",
            "telephone_number": "661-335-7755",
            "fax_number": "661-335-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OLIVE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084137",
            "telephone_number": "661-399-4461",
            "fax_number": "661-399-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEO GENNETTE CRNA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-335-7755"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Mata
• Edith Mata
• Gloria Mata
• Michael Mata
• Samuel Matar, CRNA
• Linda Kay Mather, OT, CHT
• Elsita Mathew, N.P.
• Emily R Mathew, NP
• Geo T Mathew, PA-C
• Mathias El Tribe

• Certified Registered Nurse Anesthetist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.