Healthcare Provider Details

I. General information

NPI: 1417428970
Provider Name (Legal Business Name): SDA SERVICES OF CA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E WASHINGTON BLVD
CRESCENT CITY CA
95531-8359
US

IV. Provider business mailing address

PO BOX 440448
NASHVILLE TN
37244-0448
US

V. Phone/Fax

Practice location:
  • Phone: 707-464-8511
  • Fax:
Mailing address:
  • Phone: 615-823-8024
  • Fax: 615-823-8074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: AARON A JONES
Title or Position: CEO
Credential: CRNA
Phone: 615-823-8024