Active NPI
Andre Lamont Milburn, CRNA
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3290
- Practice address
- 420 E 3Rd Street
Suite 1005
Los Angeles, CA 90013-1648 - Phone
- (213) 935-8795
- Fax
- (213) 895-8786
- NPI assigned
- Jan 4, 2006
- Last updated
- Aug 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 3290 | CA | Primary |
Addresses
Primary practice location
420 E 3Rd Street
Suite 1005
Los Angeles, CA 90013-1648
Mailing address
420 E 3Rd Street
Suite 1005
Los Angeles, CA 90013-1648
Phone (213) 935-8795
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3290 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Anesthesia Associates Inc | Current | Accepting new patients | |
| Brookside Anesthesia Group | Current | Accepting new patients | |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Metro Nursing Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
8436 W 3rd St
Ste 700
Los Angeles, CA 90048
Phone (310) 274-8228
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Organizations & group practices 4
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
- Bakersfield, CA
- NPI 1043466550
-
- Anesthesiology Physician
- Glendale, CA
- NPI 1669927810
-
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
- NPI 1578915005
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tulare Regional Medical Center
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1356329874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 3RD STREET",
"address_2": "SUITE 1005",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131648",
"telephone_number": "213-935-8795",
"fax_number": "213-935-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 3RD STREET",
"address_2": "SUITE 1005",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131648",
"telephone_number": "213-935-8795",
"fax_number": "213-895-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBURN",
"first_name": "ANDRE",
"middle_name": "LAMONT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.