Individual provider Active NPI

Robert Todd Stewart, CRNA

  • Certified Registered Nurse Anesthetist
  • Long Beach, CA
National Provider Identifier
1366577314
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3434 Issued in CA
Practice address
1127 Loma Ave
Long Beach, CA 90804-4008
Phone
(855) 759-3633
Fax
(855) 759-3633
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN586748 CA
Certified Registered Nurse Anesthetist 367500000X 3434 CA Primary

Addresses

Primary practice location

1127 Loma Ave
Long Beach, CA 90804-4008

Mailing address

1127 Loma Ave
Long Beach, CA 90804-4008
Phone (855) 759-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN586748CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Beach Recovery LLC Current Accepting new patients
China Lake Surgery Center, LLC Past Accepting new patients
Karen Tafreshi Chiropractic, Inc. PastSince Jan 1, 2020 Accepting new patients
Custom Anesthesia and Nursing Services, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1366577314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 LOMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044008",
            "telephone_number": "855-759-3633",
            "fax_number": "855-759-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 LOMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044008",
            "telephone_number": "855-759-3633",
            "fax_number": "855-759-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ROBERT",
        "middle_name": "TODD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN586748",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.