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JODI MOONBEAM OLDFATHER CRNA NPI 1942572409


NPI Information

NPI: 1942572409
Provider Name: JODI MOONBEAM OLDFATHER, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: PERMANENTE MEDICAL GROUP INC Address:
280 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611
Phone: (510) 752-1000
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Jodi Moonbeam Oldfather, CRNA is a nurse anesthetist certified registered in Oakland, CA with 13 years of experience. The provider is (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. Jodi Moonbeam Oldfather, CRNA NPI is 1942572409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

280 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611-642
Phone: (510) 752-1000

The enumeration date for this NPI number is 1/31/2012 and was last updated on 1/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered4160CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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