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

Robert Daniel Nicholas III, CRNA

Individual provider Registered Nurse · NPI 1366012361

Robert Daniel Nicholas III, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Suisun City, California. Qualified in 2023, 3 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
3
Licensed in
CA, GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1781 Stoneman Dr
Suisun City, CA 94585-3218
Phone: (678) 699-1559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 — (678) 604-1053

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002292 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN225769 (GA)

Record details

NPI number1366012361
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address1781 Stoneman Dr, Suisun City, CA 94585-3218

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Suisun City