Active NPI
Reve Brander, CRNA
- Certified Registered Nurse Anesthetist
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA95001235
- Practice address
- 13916 La Maida St
Sherman Oaks, CA 91423-1907 - Phone
- (631) 339-5015
- NPI assigned
- May 24, 2019
- Last updated
- Mar 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA95001235 | CA | Primary |
| Registered Nurse | 163W00000X | 687781-1 | NY |
Addresses
Primary practice location
13916 La Maida St
Sherman Oaks, CA 91423-1907
Mailing address
13916 La Maida St
Sherman Oaks, CA 91423-1907
Phone (631) 339-5015
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9090 Wilshire Blvd
Suite 102
Beverly Hills, CA 90211-1848
Phone (424) 324-9274
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687781-1 | NY | MD | Registered Nurse |
| NA95001235 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Surgical Center | Current | Accepting new patients | |
| Quality Medical Management Corp | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Precision Anesthesia Group Inc | Current | Accepting new patients | |
| Allied Anesthesia Medical Group Inc | Current | Accepting new patients | |
| Sunset Anesthesia Group, a Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050
9090 Wilshire Blvd
Ste 102
Beverly Hills, CA 90211
Phone (424) 324-9274
9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900
1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363
1400 Reynolds Ave
Ste 175
Irvine, CA 92614
Phone (949) 390-9000
1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
1801 W Olympic Blvd
#2100
Pasadena, CA 91199
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Sherman Oaks, CA
- NPI 1932891678
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Specialist
- Beverly Hills, CA
- NPI 1205253929
-
- Certified Registered Nurse Anesthetist
- Port Jefferson Station, NY
- NPI 1114502606
CA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beverly Hills, CA
- NPI 1740170471
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1578453205
-
- Ambulatory Surgical Clinic/Center
- Irvine, CA
- NPI 1033734728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1275190258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13916 LA MAIDA ST",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231907",
"telephone_number": "631-339-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13916 LA MAIDA ST",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231907",
"telephone_number": "631-339-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDER",
"first_name": "REVE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA95001235",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "687781-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.