Active NPI
Cecilia Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4432
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 782-6600
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- 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 | 4432 | CA | Primary |
| Registered Nurse | 163W00000X | 849770 | CA |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
525 N Crescent Heights Blvd
Los Angeles, CA 90048-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250409001609 | NV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729240742 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of South Carolina School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amin Dunckelmeyer and Luu PLLCRed Rock Anesthesia Consultants LLC
Practice addresses (Care Compare)
Las Vegas, NV 89117
Phone (469) 983-0099
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651
Hospital & facility affiliations
- Desert View Hospital
- Centennial Hills Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849770 | CA | MD | Registered Nurse |
| 4432 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Rock Anesthesia Consultants LLC | Current | Accepting new patients | |
| Amin, Dunckelmeyer and Luu PLLC | Current | Accepting new patients | |
| Ambulatory Care Anesthesia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Beach Anesthesia, LLC | Past | Accepting new patients |
Locations
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
Organizations & group practices 4
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
- Myrtle Beach, SC
- NPI 1033131990
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
Hospital
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1194011189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N CRESCENT HEIGHTS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900482207",
"fax_number": "866-519-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-782-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CECILIA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "4432",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "849770",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.