Individual provider Active NPI

Ivan Stiger

  • Certified Registered Nurse Anesthetist
  • Colton, CA
National Provider Identifier
1093588311
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95068056 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 580-2440
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95068056 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

7894 Cold Creek St
Riverside, CA 92507-1851
Phone (916) 616-3159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617001428 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204379423 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians
Trinity Anesthesia Group IncGroup PAC ID 3870901929, 11 clinicians
Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians

Practice addresses (Care Compare)

2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone (858) 485-1111

25915 Barton Rd
Suite 101
Loma Linda, CA 92354-3818
Phone (714) 394-6465

31625 De Portola Rd
Suite 101
Temecula, CA 92592-2770
Phone (951) 501-4200

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-2440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95068056CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Feb 1, 2026 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Feb 1, 2026 Accepting new patients
Sda Services of Ca CurrentSince Jul 1, 2025 Accepting new patients
Trinity Anesthesia Group Inc CurrentSince Sep 11, 2024 Accepting new patients
Inland Empire Anesthesia Medical Group, Inc CurrentSince May 4, 2024 Accepting new patients
Kris J Storkersen M D Inc PastSince Mar 29, 2020 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

25915 Barton Rd
Loma Linda, CA 92354
Phone (714) 394-6465

25915 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (714) 394-6465

10408 Industrial Cir
Redlands, CA 92374
Phone (909) 796-0363

31625 De Portola Rd
Ste 101
Temecula, CA 92592
Phone (951) 501-4200

Organizations & group practices 7

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 1

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1093588311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7894 COLD CREEK ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925071851",
            "telephone_number": "916-616-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIGER",
        "first_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95068056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.