MR. DOUGLAS M DALITZ (CRNA) – Registered Nurse, NPI 1366468589

MR. DOUGLAS M DALITZ (CRNA) is a healthcare provider. based in Salinas, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 10 (CA). The NPI Number for MR. DOUGLAS M DALITZ (CRNA) is 1366468589

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
MR. DOUGLAS M DALITZ (CRNA)
NPI
1366468589
Phone
(831) 800-7887
Address
416B MAIN ST
Enumeration Date
14 July 2006
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8133671585
Graduation Year
1976 (50 years ago)
PAC ID
1355424755
Group Practice PAC ID
0648322362
Professional Enrollment ID
I20240415002525
Address ID
FL335447793WE3821XLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for MR. DOUGLAS M DALITZ (CRNA)

  • 416B MAIN ST

    SALINAS, CA 939013306

    Phone: (831) 800-7887

    Fax: (831) 998-7155

    Type: Mailing

  • 23 UPPER RAGSDALE DR STE 100

    MONTEREY, CA 939407849

    Phone: (831) 375-3577

    Type: Location

  • 485, Antelope Boulevard, Red Bluff, Tehama County, California, 96080, United States

    STE G

    RED BLUFF, CA 960802444

    Phone: (530) 527-6693

    Fax: (530) 527-6695

    Type: Mailing

  • Saint Elizabeth Community Hospital, 2550, Sister Mary Columba Drive, Red Bluff, Tehama County, California, 96080, United States

    RED BLUFF, CA 960804327

    Phone: (530) 527-6693

    Fax: (530) 527-6695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: INTERCEPT PHARMACEUTICALS, INC. ($29).

Total Amount

$68

General + Research + Ownership

Payments

3

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080207000698ICertified Registered Nurse Anesthetist (Crna)CATBD
I20240415002525ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope261261$0
00813Anesthesia for procedure on small and large bowel using an endoscope150150$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope8887$0
00811Anesthesia for other procedure on large bowel using an endoscope8282$0
View full utilization report →

Insurance plans in this area (ZIP 93901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648322362View full group profile
NameSpecialtyState
-FL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

What is the standard ID for MR. DOUGLAS M DALITZ (CRNA) in the U.S.?
In the U.S., MR. DOUGLAS M DALITZ (CRNA) is identified by NPI 1366468589.
Is MR. DOUGLAS M DALITZ (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MR. DOUGLAS M DALITZ (CRNA) as active.
Which specialty label fits MR. DOUGLAS M DALITZ (CRNA)?
NPPES ties MR. DOUGLAS M DALITZ (CRNA) to Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. DOUGLAS M DALITZ (CRNA)?
The directory associates MR. DOUGLAS M DALITZ (CRNA) with Salinas, California. Check all listed addresses for suites or satellite offices.
Can I export MR. DOUGLAS M DALITZ (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.