Individual provider Active NPI

Austin James Peik, CRNA

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
National Provider Identifier
1396496923
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
945014 Issued in NY
Practice address
6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone
(833) 574-2273
NPI assigned
Jan 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001665 CA
Certified Registered Nurse Anesthetist 367500000X 945014 NY Primary

Addresses

Primary practice location

6041 Cadillac Ave
Los Angeles, CA 90034-1702

Mailing address

532 El Dorado St # 2
Pasadena, CA 91101-2513

Other practice location 1

207 S Santa Anita St Ste G16
San Gabriel, CA 91776-1147
Phone (626) 300-5300

Other practice location 2

700 W El Norte Pkwy
Escondido, CA 92026-3923
Phone (760) 738-7830

Other practice location 3

1310 W Stewart Dr Ste 310
Orange, CA 92868-3838
Phone (714) 633-1338

Other practice location 4

44815 Fig Ave Ste 100
Lancaster, CA 93534-3144
Phone (844) 408-6589

Other practice location 5

44139 Monterey Ave Ste B
Palm Desert, CA 92260-8700
Phone (760) 773-4411

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220419001555 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264829449 Reassigns benefits to 3 organizations
I20240909003642 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264829449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, 2,262 clinicians

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 30, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 30, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
SCQ Anesthesia a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Marquee Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2022 Accepting new patients

Locations

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

700 W El Norte Pkwy
#1182
Escondido, CA 92026
Phone (760) 738-7830

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

1400 Reynolds Ave
Ste 125
Irvine, CA 92614
Phone (657) 900-4536

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

73950 Alessandro Dr
Ste 1
Palm Desert, CA 92260
Phone (760) 568-5381

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

10408 Industrial Cir
Redlands, CA 92374
Phone (909) 796-0363

4500 Brockton Ave
Ste 105
Riverside, CA 92501
Phone (951) 784-4088

18840 Ventura Blvd
Ste 100A
Tarzana, CA 91356

7957 Painter Ave
Ste 104
Whittier, CA 90602
Phone (310) 638-9391

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1396496923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 EL DORADO ST # 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 CADILLAC AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341702",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Santa Anita St Ste G16",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917761147",
            "country_code": "US",
            "telephone_number": "626-300-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W El Norte Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920263923",
            "country_code": "US",
            "telephone_number": "760-738-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 W Stewart Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683838",
            "country_code": "US",
            "telephone_number": "714-633-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44815 Fig Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343144",
            "country_code": "US",
            "telephone_number": "844-408-6589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44139 Monterey Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922608700",
            "country_code": "US",
            "telephone_number": "760-773-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEIK",
        "first_name": "AUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001665",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "945014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 14, 2024; 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.