John Kimball, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3280 Issued in CA

Practice address

1500 San Pablo St
Usc University Hospital
Los Angeles, CA 90033-5313

Phone

(323) 442-7400

Fax

(323) 442-7411

NPI assigned

Jun 12, 2006

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John Kimball Anesthesia LLCGroup PAC ID 4587010855, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
• Citizens Medical Center Hospital, Victoria, TX, CCN 450023

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John Kimball Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Bay City, TX
  • NPI 1699552315

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Goodearth Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Houma, LA
  • NPI 1447998653

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Uscan Anesthesiology Medical Group, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1740227123

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ajay Aggarwal

  • Physical Medicine & Rehabilitation Physician
  • Lake Jackson, TX
  • NPI 1730628116
  NPD (past)
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  Care Compare affiliation
• Matagorda County Hospital District

  dba Matagorda Regional Medical Center

  • General Acute Care Hospital
  • Bay City, TX
  • NPI 1679678767
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1245272236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HARDING DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "address_2": "USC UNIVERSITY HOSPITAL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-7400",
            "fax_number": "323-442-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN0532690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yun Woo Kim
• Yungae Kristy Kim, M.D.
• Kim's Wellbeing Center
• Kim&Park a Dental Corporation
• Kimani Norrington-Sands, PH.D., Licensed Psychologist, a Psych. Corp.
• Jon Adam Kimball, M.D.
• Rebekah Kimball, RN, MSN
• Tiffany Ann Kimball, MA/OTR-L
• Kimberly Fleming Psychological Services PC
• Kimberly M Nowak DO, a Professional Corp

• Certified Registered Nurse Anesthetist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.

Verify at the official NPI Registry.