MR. GREGORY LORNE GROENEVELD CRNA
NPI 1023170149
Nurse Anesthetist, Certified Registered in Santa Rosa, CA

Q: What is Gregory Groeneveld's NPI number?

The NPI number for Gregory Groeneveld is 1023170149. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Gregory Groeneveld's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since December 14, 2006

401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(170) 571-4000(707) 836-0173 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Gregory Lorne Groeneveld Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY LORNE GROENEVELD CRNA (NPI 1023170149) is an individual nurse anesthetist, certified registered in Santa Rosa, California, licensed in California (RN4130230) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1023170149

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. GREGORY LORNE GROENEVELDCredential: CRNA

Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149

Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149 · (170) 571-4000 · Fax (707) 836-0173

Phone(170) 571-4000

Fax(707) 836-0173

Sole ProprietorNo

Enumeration DateDecember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023170149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · RN4130230

Definition

(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.

401 BICENTENNIAL WAY, Santa Rosa, CA 95403

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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ20251ZCA

Medicare UPINP28264CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA ANNE RUTLAND R.D.

Dietitian, Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4787

KURT FALKENBERG P.T.

Physical Therapist

401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403

Sonoma County (707) 571-3352

DELILAH PATTERSON CRNA

Nurse Anesthetist, Certified Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4616

KRISZTINA J. BALAZS MD

Pediatrics

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

JOHN F. KUNKEL MD

Pathology (Anatomic Pathology)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

CRISTINA COREY SCHROEN LCSW

Social Worker (Clinical)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-2536

JIE GIOK RAHARDJA PHARMD

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4652

CONOR WILLIAM BOWMAN PHARM.D.

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (818) 522-1238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Groeneveld's NPI number?

The NPI number for Gregory Groeneveld is 1023170149. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Gregory Groeneveld located?

Gregory Groeneveld practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (170) 571-4000.

What is Gregory Groeneveld's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Gregory Groeneveld was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.