Provider Demographics
NPI:1700512837
Name:HOBSON, KATALINA ALEXIS (CRNA)
Entity type:Individual
Prefix:
First Name:KATALINA
Middle Name:ALEXIS
Last Name:HOBSON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 OAK HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95252-8610
Mailing Address - Country:US
Mailing Address - Phone:209-534-2734
Mailing Address - Fax:
Practice Address - Street 1:157 OAK HOLLOW LN
Practice Address - Street 2:
Practice Address - City:VALLEY SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95252-8610
Practice Address - Country:US
Practice Address - Phone:209-534-2734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95134955367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered