ROBERT D NORTHERN JR.


Address: 243 Green Valley Rd Ste F, Freedom, CA 95019-3133
Phone: 8317630407

ROBERT D NORTHERN JR. (NPI# 1952442675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952442675
Entity Type Individual
Full Name ROBERT D NORTHERN JR.
Credential CRNA
Practice Address 243 Green Valley Rd Ste F
Freedom
CA 95019-3133
Mailing Address 1172 S Main St Ste 346
Salinas
CA 93901-2204
Practice Telephone 8317630407
Mailing Telephone 8318007887
Mailing Fax Number 8319987155
Enumeration Date 2007-02-08
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered NA1788 CA Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 200560036CRNA OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 273942 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
160 Green Valley Rd, Ste 101, Freedom, CA 950193160 8317639700 8317639799
243 Green Valley Rd Ste F, Freedom, CA 950193133 8317630407

Office Location

Street Address 243 GREEN VALLEY RD STE F
City FREEDOM
State CA
Zip Code 95019-3133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235604299 Northern Nursing Anesthesia Services PC Nurse Anesthetist, Certified Registered 243 Green Valley Rd Ste F, Freedom, CA 95019-3133 2018-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649757428 J. B. Physical Therapy, Inc. Physical Therapist 212 Green Valley Road, Freedom, CA 95019 2018-07-24
1639514441 Isamar Baeza Counselor 2716 Freedom Blvd., Freedom, CA 95019 2013-05-07
1174891386 Lisa Patrice Hamil Pharmacist 1810 Freedom Blvd., Freedom, CA 95019 2011-12-02
1346363710 Chad Truong Dentist 2016 Freedom Boulevard, Freedom, CA 95019 2007-04-09
1962539585 Frederick Wen Kang Chen Internal Medicine 243 Green Valley Rd Suite #e, Freedom, CA 95019 2007-02-28
1538277819 Jacqueline Morris-lopez Physician Assistant 108 Green Valley Rd, Freedom, CA 95019 2006-08-28
1912979725 Angela Molina Anesthesiology 160 Green Valley Rd Ste 101, Freedom, CA 95019 2006-02-06
1194704973 David A South Md & Kim M Albridge Md A Medical Corporation Dermatology 204 Green Valley Road, Freedom, CA 95019 2006-01-11
1699232108 Kayhan Mashouf Dmd Inc Dentist 270 Green Valley Rd, Freedom, CA 95019 2019-02-21
1194215434 Hai Phu Duong Pharmacist 1810 Freedom Blvd, Freedom, CA 95019 2018-05-11
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235604299 Northern Nursing Anesthesia Services PC Nurse Anesthetist, Certified Registered 243 Green Valley Rd Ste F, Freedom, CA 95019-3133 2018-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720687395 Anesthesia First, Inc Nurse Anesthetist, Certified Registered 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 2020-10-23
1659970580 Twilight Nursing Anesthesia Services Inc Nurse Anesthetist, Certified Registered 1247 W Bloomwood Rd, Rancho Palos Verdes, CA 90275-1937 2020-10-21
1881201432 Edc Anesthesia Nursing PC Nurse Anesthetist, Certified Registered 72301 Country Club Drive, Suite 101, Rancho Mirage, CA 92270-8007 2020-09-28
1720697501 Elizabeth Diane Doty Nurse Anesthetist, Certified Registered 235 N Conejo School Rd Apt 116, Thousand Oaks, CA 91362-2676 2020-07-28
1447868013 Matthew Shirts Nurse Anesthetist, Certified Registered 6713 E Princeton Ave, Fresno, CA 93727-1441 2020-07-20
1730797705 Ryan James Tobin Nurse Anesthetist, Certified Registered 1786 El Paso Ave, Clovis, CA 93611-6601 2020-07-16
1922626167 Ileana Lopez Nurse Anesthetist, Certified Registered 388 E Ocean Blvd Unit 702, Long Beach, CA 90802-5264 2020-07-13
1154946085 Brianna Koty Nurse Anesthetist, Certified Registered 1611 Greenwood Ave, Torrance, CA 90503-6134 2020-06-16
1962025973 Franesei Crna A Nursing Corporation Inc Nurse Anesthetist, Certified Registered 2601 W Alameda Ave Ste 312, Burbank, CA 91505-4812 2020-05-26
1144858028 Dennis Casanova Colon Nurse Anesthetist, Certified Registered 547 E Weldon Ave, Fresno, CA 93704-6031 2020-03-27
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Competitor

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City FREEDOM
Zip Code 95019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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