Healthcare Provider Details

I. General information

NPI: 1780516609
Provider Name (Legal Business Name): PENDRY ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 MERCY AVE
MERCED CA
95340-8319
US

IV. Provider business mailing address

1401 21ST ST # 15317
SACRAMENTO CA
95811-5226
US

V. Phone/Fax

Practice location:
  • Phone: 310-463-7827
  • Fax:
Mailing address:
  • Phone: 310-463-7827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: NAVNEET GOVINDARAJAN
Title or Position: OWNER
Credential: CRNA
Phone: 310-463-7827