NPPES file of Aug 9, 2026

Jeremiah Jack, CRNA

Certified Registered Nurse Anesthetist · Vallejo, CA

Jeremiah Jack, CRNA is a certified registered nurse anesthetist with a practice address in Vallejo, California, and NPI 1972995280, issued on Feb 24, 2015. Check the license (California 95000285, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1972995280
Name
Jeremiah Jack
Credential
CRNA
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License number
95000285 CA
Self-reported in NPPES; status is on the state search
Practice location
975 Sereno Dr, Vallejo, CA 94589
Phone
(707) 651-3884
Enumerated
Feb 24, 2015
Record last updated
Dec 30, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20170124002202); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 975 Sereno Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joel Aandahl, NPAdult Health Nurse Practitioner1891423653
  2. Noman Absar, MDCritical Care Medicine (Internal Medicine) Physician1205908951
  3. Anthony Acquaviva, MDUrology Physician1457439283
  4. Jhonnard James Acuna, CRNACertified Registered Nurse Anesthetist1205997327
  5. Omid AfshariPharmacist1184165391
  6. Eesha AftabStudent in an Organized Health Care Education/Training Program1770421687

Verify Jeremiah Jack in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 95000285
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Permanente Medical Group IncVallejo, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jeremiah Jack among 2,943 certified registered nurse anesthetist records in California

Jeremiah Jack, CRNA is one of 2,943 certified registered nurse anesthetist records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 55% of them.

  • NPI issued2015 · 55% of these records are older, 41% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated2014 · median 2016 among the 2,089 with a school on file
  • Record last updated2021 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

34 certified registered nurse anesthetist records list a practice address in Vallejo

They are 34 of the 2,836 NPPES records with a practice address in Vallejo, and 2,943 certified registered nurse anesthetist records in California.

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Jhonnard James Acuna, CRNAVallejo, CA 945891205997327
  2. Marta Ashby, CRNAVallejo, CA 945891407929433
  3. Vicky Crepps, RN, MS, CRNAVallejo, CA 945891790840023
  4. Seth Greenberg, CRNAVallejo, CA 945891457403149
  5. Frederick Lopez, CRNAVallejo, CA 945891972668580
  6. Edward Matthews, CRNAVallejo, CA 945891487725594
  7. John Pearlman, CRNAVallejo, CA 945891215011598
  8. Anne Pettibone, CRNAVallejo, CA 945891063576080

Common questions

What is Jeremiah Jack, CRNA's NPI number?

Jeremiah Jack, CRNA's National Provider Identifier (NPI) is 1972995280, issued on Feb 24, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Jeremiah Jack, CRNA located?

The NPPES record lists a practice address at 975 Sereno Dr, Vallejo, CA, 94589. Phone: (707) 651-3884. Providers update this record themselves, so call before visiting.

How can I verify Jeremiah Jack, CRNA's license?

NPPES lists California license number 95000285, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.