Christopher E Koettel, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3853 Issued in CA

Practice address

850 S Atlantic Blvd Ste 201
Monterey Park, CA 91754-6705

Phone

(626) 872-0264

NPI assigned

Jan 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Premier Nursing Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Monterey Park, CA
  • NPI 1003503079

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Amsurg Arcadia Anesthesia LP

  • Anesthesiology Physician
  • Arcadia, CA
  • NPI 1114291226
  Medicare reassignment NPD
• Amsurg South Bay Anesthesia LP

  • Anesthesiology Physician
  • Torrance, CA
  • NPI 1811230022
  Medicare reassignment NPD
• Axiom Anesthesia a Professional Nursing Corporation

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1760150155
  Medicare reassignment NPD
• Genesis Healthcare Partners PC

  • Specialist
  • Encinitas, CA
  • NPI 1548567498
  Medicare reassignment NPD
• Glendora Anesthesia Associates LP

  • Certified Registered Nurse Anesthetist
  • Glendora, CA
  • NPI 1750748331

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northridge Advanced Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Northridge, CA
  • NPI 1417971821
  Medicare reassignment NPD
• Skyline Urology

  • Specialist
  • Torrance, CA
  • NPI 1730136573
  NPD
• Urology Institute of the South Bay

  • Urology Physician
  • Torrance, CA
  • NPI 1801804760
  NPD
• Anesthesia Consulting Services, PA

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1518070416
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1073843041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546705",
            "telephone_number": "626-872-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETTEL",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-109710-092",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "556943",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "140281",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200637580A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Woo Kim, CCC-SLP
• Kindred Compassion Healthcare LLC
• Jon Yueh King, D.C.
• Kathie Lee Kingett, ATC
• Yoko Kobayakawa, D.D.S.
• Amanda Ann Kofod, DDS
• Jan Minette Komenkul, MA, CCC-SLP
• Thianthong Kompor, MD
• John Krueger, LCSW
• KT Medical Care

• Certified Registered Nurse Anesthetist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.