Christopher James Brown, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Capistrano Beach, CA
NPI 1194766451 · NPPES record last updated Dec 22, 2008
Key facts
- NPI
- 1194766451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- NA809 (CA)
- Practice address
- 34521 Via Catalina
Unit 'B'
Capistrano Beach, CA 92624-1215 - Phone
- (949) 489-8694
- Fax
- (949) 489-8694
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050520001037 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6901844034 | Practice locations: Anaheim, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 809 | CA | MD | Speech-Language Assistant |
| NA809 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners of North Valley | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA809 | CA | Yes |
Addresses
Primary practice location
34521 Via Catalina
Unit 'B'
Capistrano Beach, CA 92624-1215
Mailing address
34521 Via Catalina
Unit 'B'
Capistrano Beach, CA 92624-1215
Phone (949) 489-8694
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN2459501 | Medicaid | CA |
Other providers in Capistrano Beach, CA
- Baby Book Inc
- Beacon Health Services, Inc.
- Christopher Beddoe
- Jitendra R Bhatt
- Catherine Breton
- Patricia Saccomanno Brown
- Brad Edward Budde
- Capistrano Beach Care Center, LLC
- Capo Beach Healthcare LLC
- Capo by the Sea
All providers in Capistrano Beach, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.