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

Rustam Blatov, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1134468390

Rustam Blatov, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Roseville, California. Qualified in 2012, 14 years ago. Practices with El Dorado Anesthesia Medical Group, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2013
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

1600 Eureka Rd
Roseville, CA 95661-3027
Phone: (916) 784-4000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4335 (CA)

Record details

NPI number1134468390
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 7, 2013
Last updated in NPPESJanuary 3, 2022
Mailing address1600 Eureka Rd, Roseville, CA 95661-3027

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice El Dorado Anesthesia Medical Group — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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