Individual provider Active NPI

Gurmail Sidhu, CRNA

  • Certified Registered Nurse Anesthetist
  • Delano, CA
National Provider Identifier
1982672051
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA2794 Issued in CA
Practice address
1401 Garces Hwy
Delano, CA 93215-3690
Phone
(661) 725-4800
Fax
(805) 782-8220
NPI assigned
Mar 14, 2006
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN536553 CA
Certified Registered Nurse Anesthetist 367500000X CRNA2794 CA
Certified Registered Nurse Anesthetist 367500000X NA2794 CA Primary

Addresses

Primary practice location

1401 Garces Hwy
Delano, CA 93215-3690

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 1

IdentifierTypeStateIssuer
RN536553MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000851 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618934233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amsurg San Luis Obispo Anesthesia LLCGroup PAC ID 2466637525, 3 clinicians

Practice addresses (Care Compare)

77 Casa St
Suite 106
San Luis Obispo, CA 93405-5804
Phone (805) 541-1021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CRNA2794CAMDCertified Registered Nurse Anesthetist
NA2794CAMDCertified Registered Nurse Anesthetist
RN536553CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Mar 15, 2018 Accepting new patients
Amsurg San Luis Obispo Anesthesia, LLC CurrentSince Oct 17, 2020 Accepting new patients
Garrett S Hilt Certified Registered Nursing Anesthesia Inc CurrentSince Mar 18, 2018 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Current Accepting new patients
MD Cyrus Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Coast Nursing Anesthesia, Inc Nurse Anesthetist, Certified Registered PastSince Dec 14, 2006 Accepting new patients
Cencal Anesthesia and Nursing Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

77 Casa St
Ste 106
Sn Luis Obisp, CA 93405
Phone (805) 541-1021

1320 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-0025

7230 Medical Center Dr
Ste 405
West Hills, CA 91307

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1982672051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GARCES HWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153690",
            "telephone_number": "661-725-4800",
            "fax_number": "805-782-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GURMAIL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "RN536553",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "CRNA2794",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA2794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN536553",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.

Verify at the official NPI Registry.