Active NPI
Clinton Lange
- Certified Registered Nurse Anesthetist
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95001852
- Practice address
- 916 Comanche CT
Camarillo, CA 93010-2913 - Phone
- (830) 370-8023
- NPI assigned
- Jan 7, 2019
- Last updated
- May 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95001852 | CA | Primary |
Addresses
Primary practice location
916 Comanche CT
Camarillo, CA 93010-2913
Mailing address
916 Comanche CT
Camarillo, CA 93010-2913
Phone (830) 370-8023
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 77.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Springs Anesthesia Services, PC | Current | Accepting new patients |
Locations
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
415 E Harding Way
Ste E
Stockton, CA 95204
Phone (209) 337-4935
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- San Bernardino, CA
- NPI 1083928501
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1245703834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 COMANCHE CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930102913",
"telephone_number": "830-370-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 COMANCHE CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930102913",
"telephone_number": "830-370-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "CLINTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95001852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.