Active NPI
Michael T Reid, CRNA
- Certified Registered Nurse Anesthetist
- Colton, CA
National Provider Identifier
1104832039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA2132
- Practice address
- 900 E Washington St
Ste. 100
Colton, CA 92324-7111 - Phone
- (909) 370-2190
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA 2132 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | NA2132 | CA | Primary |
Addresses
Primary practice location
900 E Washington St
Ste. 100
Colton, CA 92324-7111
Mailing address
PO Box 1448
Rancho Cucamonga, CA 91729-1448
Phone (909) 946-5752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050707001086 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375589617 |
Receives reassigned benefits from 13 practitioners Practice locations: Arcadia, CA; Colton, CA; Murrieta, CA; Riverside, CA; San Bernardino, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA 2132 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Reid Crna | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Glendale Ophthalmology ASC LP | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Moreno Valley, CA
- NPI 1386387090
CA
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Colton, CA
- NPI 1174984678
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Glendale, CA
- NPI 1225001423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1104832039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1448",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917291448",
"telephone_number": "909-946-5752",
"fax_number": "909-985-3858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E WASHINGTON ST",
"address_2": "STE. 100",
"city": "COLTON",
"state": "CA",
"postal_code": "923247111",
"telephone_number": "909-370-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA 2132",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA2132",
"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 Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.