Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Fedorchak, SRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174110597

Lauren Fedorchak, SRNA is a Certified Registered Nurse Anesthetist (CRNA) in Oakland, California. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2020
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Practice location Address checks out

3100 Telegraph Ave
Oakland, CA 94609-3239
Phone: (800) 607-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Madison St Apt 312, Oakland, CA 94612-4503 — (914) 843-1185

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174110597
Entity typeIndividual (Type 1)
GenderFemale
Credentials SRNA
Sole proprietorNo
NPI enumeratedDecember 31, 2020
Last updated in NPPESJune 28, 2023
Certification dateOctober 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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