Active NPI
Nicholas Arthur Perrenoud, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3555
- Practice address
- 11234 Anderson St RM A504
Loma Linda, CA 92354-2804 - Phone
- (909) 558-7811
- Fax
- (909) 558-0180
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 576417 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 3555 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St RM A504
Loma Linda, CA 92354-2804
Mailing address
42718 Settlers RDG
Murrieta, CA 92562-3313
Phone (909) 800-2686
Other practice location 1
943 Walnut Ave
Redlands, CA 92373-6633
Phone (909) 894-4861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 576417 | CA | MD | Home Health Registered Nurse |
| 3555 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tobias Anesthesia a Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Nap Anesthesia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Loma Linda University Children'S Hospital | Past | Accepting new patients |
Locations
1850 E Washington St
Ste A
Colton, CA 92324
Phone (909) 835-4265
5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199
11234 Anderson St
Rm A504
Loma Linda, CA 92350
Phone (909) 558-7811
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
Organizations & group practices 8
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Certified Registered Nurse Anesthetist
- Colton, CA
- NPI 1184330722
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rancho Mirage, CA
- NPI 1588981799
Nurse Anesthetist, Certified Registered
-
- Pediatrics Physician
- San Bernardino, CA
- NPI 1124077516
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215005228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42718 SETTLERS RDG",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925623313",
"telephone_number": "909-800-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST RM A504",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-7811",
"fax_number": "909-558-0180"
}
],
"practiceLocations": [
{
"address_1": "943 Walnut Ave",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923736633",
"country_code": "US",
"telephone_number": "909-894-4861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRENOUD",
"first_name": "NICHOLAS",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "576417",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.