Active NPI
Johnny Bairos, CRNA
- Certified Registered Nurse Anesthetist
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3807
- Practice address
- 900 E Washington Street #155
Colton, CA 92324-4196 - Phone
- (951) 312-8034
- NPI assigned
- Sep 24, 2009
- 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 | 3807 | CA | Primary |
Addresses
Primary practice location
900 E Washington Street #155
Colton, CA 92324-4196
Mailing address
429 Marilyn Lane
Redlands, CA 92373-7327
Phone (951) 312-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59, LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Lgibson Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| Bairos Nursing Anesthesia,Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Desert Cities Anesthesia Professionals | Nurse Anesthetist, Certified Registered | Current | 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
1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600
35800 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 699-5000
9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930
10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Redlands, CA
- NPI 1861744161
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Certified Registered Nurse Anesthetist
- Rancho Cucamonga, CA
- NPI 1417473323
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Palm Springs, CA
- NPI 1386016087
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Rancho Cucamonga, CA
- NPI 1487959581
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1366776205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 MARILYN LANE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923737327",
"telephone_number": "951-312-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E WASHINGTON STREET #155",
"city": "COLTON",
"state": "CA",
"postal_code": "923244196",
"telephone_number": "951-312-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIROS",
"first_name": "JOHNNY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-24",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.