Active NPI
Robert Todd Stewart, CRNA
- Certified Registered Nurse Anesthetist
- Long Beach, CA
National Provider Identifier
1366577314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3434
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN586748 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunset Beach Recovery LLC | Current | Accepting new patients | |
| China Lake Surgery Center, LLC | Past | Accepting new patients | |
| Karen Tafreshi Chiropractic, Inc. | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Westminster, CA
- NPI 1689298648
-
- Ambulatory Surgical Clinic/Center
- Ridgecrest, CA
- NPI 1821223827
-
- Health Service Clinic/Center
- Long Beach, CA
- NPI 1578075149
-
- Multi-Specialty Clinic/Center
- Fountain Valley, CA
- NPI 1790325090
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.