Southern California Gastroenterology Anesthesia Specia
NPI 1073997359ActiveOrganization· Nurse Anesthetist, Certified Registered· San Diego, CA
Nurse Anesthetist, Certified Registered in San Diego, California, registered in NPPES in July 2015. The authorized official on file is John G. Keenan, CRNA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073997359 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2015 |
| Last updated in NPPES | Sep 8, 2023 |
| Certified by provider | Sep 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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