CMS-1500 Box 24J / 33a • NPI
1528480779
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
1390 E YOSEMITE AVE, MERCED, CA, 95340-8221
✓ 9-Digit EDI 837 ZIP+4 (95340-8221)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1528480779 (CUERO ANESTHESIA INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1528480779 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CUERO ANESTHESIA INC. |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1390 E YOSEMITE AVE, MERCED, CA, 95340-8221 |
| Practice Telephone / Fax | Tel: (209) 580-3400 |
| Administrative Mailing Address | 1041 E WOODLAND AVE, BARRON, WI, 54812-1763 |
| Enumeration & Last Sync | Enumerated: 2014-01-07 | CMS Record Updated: 2014-01-07 |
| Authorized Official | TIMOTHY GOOSBY (Nurse Anesthetist) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CUERO ANESTHESIA INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: CA | License: 1720 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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