DELOGE ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION (NPI# 1861917841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861917841 |
| Entity Type | Organization |
| Organization Name | DELOGE ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION |
| Other Organization Name | DELOGE ANESTHESIA SERVICE INC |
| Practice Address |
901 E St San Rafael CA 94901-2850 |
| Mailing Address |
370 Wilson Way Larkspur CA 94939-1939 |
| Practice Telephone | 4157751555 |
| Mailing Telephone | 8106910773 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | DR. JON ALAN DELOGE (NURSE ANESTHETIST) |
| Authorized Official Telephone | 8106910773 |
| Authorized Official Credential | DNAP, 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 |
| Other Name | Type Code |
|---|---|
| DELOGE ANESTHESIA SERVICE INC | Doing Business As Name - Organization |
| Street Address |
901 E ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253919 | Marin Ophthalmic Consultants, A Medical Corporation | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-27 |
| 1053530964 | Margaret Harrington | Anesthesiology | 901 E St, 270, San Rafael, CA 94901-2850 | 2007-04-25 |
| 1356494892 | Tanaz Mohammadi | Optometrist | 901 E St, Suite 285, San Rafael, CA 94901-2850 | 2007-01-19 |
| 1336130525 | Christian K Kim | Ophthalmology | 901 E St, Suite 285, San Rafael, CA 94901-2850 | 2005-11-04 |
| 1912996711 | Susan Jean Cunningham | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-10-14 |
| 1689679961 | Nat Jay Finkel | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-06-14 |
| 1750384061 | Dianne Lee Wong | Optometrist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| 1619970928 | John R Campbell | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| 1053314351 | Steven Vermillion | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| 1114920477 | John C Shin | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1023517133 | Christina Ramirez | Nurse Anesthetist, Certified Registered | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2018-02-03 |
| 1689948051 | Katherine Sarasas | Nurse Anesthetist, Certified Registered | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2012-03-02 |
| 1023315231 | Jennifer Alexandria Clark | Nurse Anesthetist, Certified Registered | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2011-02-24 |
| 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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| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.