Kurt Dieter Cao, C.R.N.A.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Loma Linda, CA
NPI 1013068352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013068352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 077021 (CA)
- Practice address
- 11234 Anderson St
Loma Linda, CA 92354-2804 - Phone
- (909) 558-8173
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faculty Physicians and Surgeons of Llusm
Mission Nursing Anesthesia Inc
Practice addresses (Care Compare)
11370 Anderson St
Loma Linda, CA 92354-3450
39700 Bob Hope Dr
Suite 204
Rancho Mirage, CA 92270-7109
Phone (615) 620-2320
File Number
Suite 54701
Los Angeles, CA 90074-4701
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071002000745 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052406295 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077021 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Nursing Anesthesia, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Sweet Dreams Anesthesia Inc | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Loma Linda Univ Anesthesiology Medical Group Inc | Past | Accepting new patients |
Locations
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
35800 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 699-5000
39700 Bob Hope Dr
Ste 204
Rancho Mirage, CA 92270
Phone (760) 346-3641
2927 De la Vina St
Ste A
Santa Barbara, CA 93105
Phone (818) 654-9301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 077021 | CA | Yes |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Mailing address
File 55799
Los Angeles, CA 90074-5799
Phone (909) 558-8173
Other providers in Loma Linda, CA
- Kayla Christine Canteras
- Jane Mieko-Hirokane Cantos
- Diana T Cao
- Huynh Cao
- Karen-Tran Hong Cao
- Tiffany H Cao
- Yuan Cao
- Lauren Elizabeth Capoccia
- Gabrielle Keana Caporaso
- Zenaida Lopez Capua-Currie
All providers in Loma Linda, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.