IMPACT ANESTHESIA ASSOCIATES (NPI# 1043676331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043676331 |
| Entity Type | Organization |
| Organization Name | IMPACT ANESTHESIA ASSOCIATES |
| Practice Address |
1660 Seattle Slew Way Oceanside CA 92057-5621 |
| Practice Telephone | 6197884408 |
| Mailing Telephone | 6197884408 |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |
| Authorized Official Name | SHANE GARST (CEO) |
| Authorized Official Telephone | 6197884408 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1660 SEATTLE SLEW WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92057-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740683002 | Jayme Garst | Registered Nurse | 1660 Seattle Slew Way, Oceanside, CA 92057-5621 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760973952 | Michelle Alamo Domingo | Nurse Practitioner | 4330 Silver Spring Way, Oceanside, CA 92057 | 2018-05-23 |
| 1780107359 | Baljit D Singh | Dentist | 555221 Box, Box 555221, Fpo, AE 92057 | 2017-07-25 |
| 1629513734 | John Francis Donovan | Technician, Pathology | 3619 Dearborn St, Oceanside, CA 92057 | 2016-12-28 |
| 1639546997 | San Joaquin Assisted Living LLC | Assisted Living Facility | 4478 San Joaquin St, Oceanside, CA 92057 | 2015-08-21 |
| 1194167429 | Khamsy Siharath | Registered Nurse | 4451 San Joaquin St, Oceanside, CA 92057 | 2013-07-29 |
| 1205186244 | Michelle Tracy Plumb | Marriage & Family Therapist | 102 Rancho Del Oro Drive, Oceanside, CA 92057 | 2012-09-18 |
| 1720350416 | Ashley Nicole Kline | Military Health Care Provider | 191 Mckinley Street, Oceanside, CA 92057 | 2012-01-27 |
| 1548542558 | Jennifer Ann Wermers | Dental Hygienist | 4824 Contour Court, Oceanside, CA 92057 | 2011-09-15 |
| 1295969368 | Mariza Rubi Salazar | Dental Assistant | 103 Avenida Del Gado, Oceanside, CA 92057 | 2009-05-05 |
| 1669632378 | Marcie Alena Bokelman | Registered Nurse | 4906 Tyler St, Oceanside, CA 92057 | 2008-06-16 |
| Find all providers in zip 92057 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272084 | Sean Hutchison | Nurse Anesthetist, Certified Registered | 200 Mercy Cir, Oceanside, CA 92055 | 2018-07-20 |
| 1760840532 | Tanya Ambrose | Nurse Anesthetist, Certified Registered | 1 Healthy Way, Oceanside, NY 11572-1551 | 2016-02-08 |
| 1417373028 | Comfort Endoscopy Anesthesia LLC | Nurse Anesthetist, Certified Registered | 3921 Waring Rd, Ste. B, Oceanside, CA 92056-4456 | 2014-03-07 |
| 1902220460 | Nisha Joseph | Nurse Anesthetist, Certified Registered | 1 Healthy Way, Oceanside, NY 11572-1551 | 2014-02-04 |
| 1548598675 | Wray Sampson Adams | Nurse Anesthetist, Certified Registered | 1 Healthy Way, Oceanside, NY 11572-1551 | 2009-12-01 |
| 1073747846 | Moira Frances Canty | Nurse Anesthetist, Certified Registered | 1 Healthy Way, Oceanside, NY 11572-1551 | 2009-05-08 |
| 1821255266 | Peter Fitzpatrick | Nurse Anesthetist, Certified Registered | 2446 Washington Avenue, Oceanside, NY 11572 | 2008-05-22 |
| 1316123193 | Yelena Feldman | Nurse Anesthetist, Certified Registered | 2446 Washington Avenue, Oceanside, NY 11572 | 2008-01-11 |
| 1508045949 | Stacey Ann Tubridy | Nurse Anesthetist, Certified Registered | 1 Healthy Way, Oceanside, NY 11572-1551 | 2007-11-02 |
| 1881744928 | Jean Mary Folkerth | Nurse Anesthetist, Certified Registered | 3998 Vista Way, Suite A, Oceanside, CA 92056-4515 | 2007-01-11 |
| Find all providers in OCEANSIDE | ||||
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| 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.