Individual provider Active NPI

Deborah Irene Scullon, CRNA,BSN

  • Certified Registered Nurse Anesthetist
  • San Francisco, CA
National Provider Identifier
1982705901
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1052 Issued in CA
Practice address
4150 Clement St
San Francisco, CA 94121-1545
Phone
(415) 750-2069
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 407480 CA
Certified Registered Nurse Anesthetist 367500000X 1052 CA Primary

Addresses

Primary practice location

4150 Clement St
San Francisco, CA 94121-1545

Mailing address

866 Old Quarry Rd S
Larkspur, CA 94939-2218
Phone (415) 531-6879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000759 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749337327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Michigan Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

201 S Buena Vista St
Suite 410
Burbank, CA 91505-4571
Phone (818) 845-3773

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
407480CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Urology Current Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
Burbank Anesthesia Associates a Professional Medical Corporation CurrentSince Jun 1, 2020 Accepting new patients
Urology Institute of the South Bay Current Accepting new patients
Hi-Desert Medical Center Anesthesiology Group Past Accepting new patients
Palm Springs Anesthesia Services, PC Past Accepting new patients
California Anesthesia Network Nursing Services, PC Past Accepting new patients
Merrimack Valley Anesthesia Associates, PC Past Accepting new patients
Safe Sedation, PLLC Past Accepting new patients

Locations

201 S Buena Vista St
Ste 410
Burbank, CA 91505
Phone (818) 845-3773

2211 W Magnolia Blvd
Ste 205B
Burbank, CA 91506
Phone (818) 588-4150

225 W Broadway
Ste 350
Glendale, CA 91204
Phone (626) 808-4754

3801 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 449-4183

1010 W La Veta Ave
Ste 570
Orange, CA 92868
Phone (714) 835-7700

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1982705901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 OLD QUARRY RD S",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949392218",
            "telephone_number": "415-531-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211545",
            "telephone_number": "415-750-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLON",
        "first_name": "DEBORAH",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "CRNA,BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "407480",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.