Individual provider Active NPI

Chester Rex Lusaria, CRNA

  • Certified Registered Nurse Anesthetist
  • Stanford, CA
National Provider Identifier
1053617019
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4013 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Feb 8, 2011
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA4013 CA
Certified Registered Nurse Anesthetist 367500000X 4013 CA Primary
Registered Nurse 163W00000X 732195 CA

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

726 4th St
Marysville, CA 95901-5656
Phone (530) 749-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000133 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880851856 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Eagle Anesthesia Inc a Professional CorporationGroup PAC ID 3577613017, 24 clinicians
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

1160 Post St
San Francisco, CA 94109-5505
Phone (415) 440-1100

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NA4013CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Alameda Health System CurrentSince Jan 26, 2015 Accepting new patients
Sedaze Anesthesia Consultants a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2024 Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation CurrentSince Dec 30, 2024 Accepting new patients
Stanford Health Care CurrentSince Dec 17, 2024 Accepting new patients
Alameda Health System CurrentSince Jan 26, 2015 Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 18, 2011 Accepting new patients
Permanente Medical Group Inc CurrentSince Dec 18, 2011 Accepting new patients
Amsurg Oakland Anesthesia LP CurrentSince Jan 1, 2026 Accepting new patients
Alameda Health System Current Accepting new patients
Stanford Health Care CurrentSince Dec 17, 2024 Accepting new patients

Locations

20998 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-2828

901 Campus Dr
Ste 102
Daly City, CA 94015
Phone (650) 991-2000

901 Campus Dr
Ste 310
Daly City, CA 94015
Phone (650) 755-0337

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

300 Ogawa Plz
Ste 135
Oakland, CA 94612
Phone (510) 893-1600

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2288 Auburn Blvd
Ste 201
Sacramento, CA 95821
Phone (916) 646-8300

1160 Post St
San Francisco, CA 94109
Phone (415) 440-1100

1160 Post St
Ste 102
San Francisco, CA 94109

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

2500 Merced St
San Leandro, CA 94577
Phone (510) 454-1000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1739 4th St
Santa Rosa, CA 95404
Phone (707) 528-6331

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1053617019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 4th St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "CA",
            "postal_code": "959015656",
            "country_code": "US",
            "telephone_number": "530-749-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSARIA",
        "first_name": "CHESTER REX",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA4013",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4013",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "732195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2500 Merced St",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.