Active NPI
Alta Vista Billing
- Certified Registered Nurse Anesthetist
- San Bernardino, CA
National Provider Identifier
1225882228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- ALTA VISTA BILLING
- Practice address
- 1003 E Brier Dr Ste 170
San Bernardino, CA 92408-2862 - Phone
- (909) 370-2190
- NPI assigned
- Apr 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Reid, CRNA
- Title
- Owner
- Phone
- (949) 588-2190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1003 E Brier Dr Ste 170
San Bernardino, CA 92408-2862
Mailing address
5 Holland Ste 101
Irvine, CA 92618-2568
Phone (949) 588-2190
National Provider Directory
National Provider DirectoryLocations
1003 E Brier Dr
Ste 170
Sn Bernrdno, CA 92408
Phone (909) 370-2190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1225882228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HOLLAND STE 101",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182568",
"telephone_number": "949-588-2190",
"fax_number": "949-588-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 E BRIER DR STE 170",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082862",
"telephone_number": "909-370-2190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTA VISTA BILLING",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-588-2190",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.