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

Tanner Mixon, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164962064

Tanner Mixon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Sacramento, California. Qualified in 2016, 10 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
10
Licensed in
CA, OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 734-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1015 Nw 22nd Ave, Portland, OR 97210-3025 — (662) 312-9522

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001358 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 201701285CRNA (OR)

Record details

NPI number1164962064
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 27, 2017
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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