Individual provider Active NPI

Karnadi Peter Doeve, CRNA

  • Certified Registered Nurse Anesthetist
  • Corona, CA
National Provider Identifier
1336318070
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3724 Issued in CA
Practice address
530 Doheny Cir
Corona, CA 92881-8459
Phone
(951) 283-5509
NPI assigned
Feb 27, 2008
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3724 CA Primary

Addresses

Primary practice location

530 Doheny Cir
Corona, CA 92881-8459

Mailing address

530 Doheny Cir
Corona, CA 92881-8459
Phone (951) 283-5509

Other names 1

  • Mr. Peter Doeve Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090324000566 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921165689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University ofGroup PAC ID 8729983473, 236 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3724CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of CurrentSince Feb 16, 2015 Accepting new patients
Liberty Anesthesia Consultants LLC CurrentSince Nov 1, 2022 Accepting new patients
Bairos Nursing Anesthesia,Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

900 E Washington St
Ste 155
Colton, CA 92324
Phone (909) 370-2190

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

29300 Portola Pkwy
Ste A
Lake Forest, CA 92630
Phone (949) 305-3913

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1336318070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DOHENY CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818459",
            "telephone_number": "951-283-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DOHENY CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818459",
            "telephone_number": "951-283-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEVE",
        "first_name": "KARNADI",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "DOEVE",
            "prefix": "MR.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.