Ellen Mae Alcantara De Vera, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

143616 Issued in CA

Practice address

4500 Morning Dr Ste 102
Bakersfield, CA 93306-7276

Phone

(661) 437-4140

NPI assigned

Feb 10, 2023

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Garrett S Hilt Certified Registered Nursing Anesthesia Inc

  dba Pacific Anesthesia

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1497278949
  Medicare reassignment NPD
• Valley Regional Anesthesia Associates Inc

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1578272415
  Medicare reassignment NPD

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1407553498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12842 PALM ST PH 1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928406427",
            "telephone_number": "858-519-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MORNING DR STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067276",
            "telephone_number": "661-437-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "ELLEN MAE",
        "middle_name": "ALCANTARA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "143616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick De Luna
• Brenda De Monge
• Florante Jose Concha De Ocampo, BSN RN
• Julie Renee De Petro, MSN FNP
• Belinda Diane De Shay, PMHNP-BC
• Dean L Davis MD Inc
• Khiylah Dean
• Lauren Dean
• Lillian Fay Dean
• Ron Bruce Deaton, LVN

• Certified Registered Nurse Anesthetist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.

Verify at the official NPI Registry.