Individual provider Active NPI

Gustavo Leor

  • Certified Registered Nurse Anesthetist
  • Pasadena, CA
National Provider Identifier
1316628563
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1811497 Issued in AZ
Practice address
300 E Bellevue Dr Apt 125
Pasadena, CA 91101-3105
Phone
(805) 284-2068
NPI assigned
Jul 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95105960 CA
Certified Registered Nurse Anesthetist 367500000X 1811497 AZ Primary
Anesthesiology Physician 207L00000X 95002220 CA

Addresses

Primary practice location

300 E Bellevue Dr Apt 125
Pasadena, CA 91101-3105

Mailing address

321 E Valerio St Apt C
Santa Barbara, CA 93101-1195
Phone (805) 284-2068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231218002366 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668821521 Reassigns benefits to 9 organizations
I20250122003231 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668821521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tip Top Anesthesia Group Inc 45 clinicians
Pax Anesthesia Crna Nursing Apc 2 clinicians
Concierge Anesthesia 18 clinicians

Practice addresses (Care Compare)

1001 Tower Way
Suite 150
Bakersfield, CA 93309-1586
Phone (310) 779-3025

222 W Pueblo St
Suite C
Santa Barbara, CA 93105-3805
Phone (805) 364-8450

3180 Willow LN
Suite 118
Thousand Oaks, CA 91361-4986
Phone (805) 870-9482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1811497AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists Medical Group CurrentSince Jul 25, 2024 Accepting new patients
Medbridge Anesthesia Services, Inc. Anesthesiology CurrentSince Jun 28, 2025 Accepting new patients
Antigua Anesthesia Management, LLC Anesthesiology CurrentSince Nov 18, 2024 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Jul 25, 2024 Accepting new patients
Concierge Anesthesia Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Sep 11, 2024 Accepting new patients
Credence Anesthesia Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2023 Accepting new patients
SCQ Anesthesia a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2023 Accepting new patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Feb 13, 2025 Accepting new patients
Amsurg Arcadia Anesthesia LP Anesthesiology CurrentSince Nov 4, 2023 Accepting new patients
Pax Anesthesia Crna Nursing Apc Nurse Anesthetist, Certified Registered CurrentSince Dec 5, 2024 Accepting new patients
San Fernando Valley Vascular Group a Medical Corporation Past Accepting new patients
West Coast Surgery Inc Past Accepting new patients

Locations (25 of 37)

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1000 S Anaheim Blvd
Ste 300
Anaheim, CA 92805
Phone (714) 221-2196

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

18575 Gale Ave
Ste 198
City of Industry, CA 91748
Phone (626) 656-1285

12017 Paramount Blvd
Downey, CA 90242
Phone (562) 381-2494

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500

2000 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 643-3332

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

36915 Cook St
Ste 103B
Palm Desert, CA 92211
Phone (760) 340-1003

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

815 Auto Center Dr
Palmdale, CA 93551
Phone (661) 206-6262

4500 Brockton Ave
Ste 105
Riverside, CA 92501
Phone (951) 784-4088

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

2927 De la Vina St
Santa Barbara, CA 93105
Phone (805) 324-4296

231 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 687-7508

222 W Pueblo St
Ste C
Santa Barbara, CA 93105
Phone (805) 364-8450

2420 Fletcher Ave
Santa Barbara, CA 93105
Phone (805) 898-1111

121 Gray Ave
Ste 201
Santa Barbara, CA 93101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBCJAA

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1316628563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E VALERIO ST APT C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011195",
            "telephone_number": "805-284-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BELLEVUE DR APT 125",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013105",
            "telephone_number": "805-284-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOR",
        "first_name": "GUSTAVO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95105960",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "1811497",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "95002220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.