Individual provider Active NPI

Rex Itchon

  • Certified Registered Nurse Anesthetist
  • Downey, CA
National Provider Identifier
1407566912
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95049450 Issued in CA
Practice address
9333 Imperial Hwy
Downey, CA 90242-2812
Phone
(833) 574-2273
NPI assigned
Nov 25, 2022
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95049450 CA Primary

Addresses

Primary practice location

9333 Imperial Hwy
Downey, CA 90242-2812

Mailing address

2514 E 6TH St Apt B
Long Beach, CA 90814-7364

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828003668 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567825227 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Credence Anesthesia CorporationGroup PAC ID 9133586639, 12 clinicians

Practice addresses (Care Compare)

815 Auto Ctr Dr
Palmdale, CA 93551-4486
Phone (661) 206-6262

9333 Imperial Hwy
Downey, CA 90242-2812
Phone (800) 923-4040

9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000

9353 Imperial Hwy
Downey, CA 90242-2812
Phone (562) 657-9000

9449 Imperial Hwy
Downey, CA 90242-2814
Phone (562) 461-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001908CAMDOccupational Health Nurse Practitioner
95049450CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jul 2, 2023 Accepting new patients
Amsurg Arcadia Anesthesia LP CurrentSince Sep 26, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 26, 2023 Accepting new patients
San Gabriel Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2024 Accepting new patients
Lightning Anesthesia Nursing Services, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 20, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Amsurg South Bay Anesthesia LP CurrentSince Sep 26, 2024 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jul 2, 2023 Accepting new patients
Credence Anesthesia Corporation Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 26, 2023 Accepting new patients
South Bay Anesthesia Medical Group Inc. Past Accepting new patients
West Coast Surgery Inc Past Accepting new patients

Locations

1000 S Anaheim Blvd
Ste 300
Anaheim, CA 92805
Phone (714) 221-2196

288 N Santa Anita Ave
Ste 404
Arcadia, CA 91006
Phone (626) 289-2223

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3184

5562 Philadelphia St
Ste 111
Chino, CA 91710
Phone (909) 464-9119

12017 Paramount Blvd
Downey, CA 90242
Phone (562) 381-2494

9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

44815 Fig Ave
Ste 100
Lancaster, CA 93534
Phone (661) 802-7978

1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500

2000 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 643-3332

2000 Outlet Center Dr
Ste 225
Oxnard, CA 93036
Phone (805) 444-4491

36915 Cook St
Ste 103B
Palm Desert, CA 92211
Phone (760) 340-1003

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

815 Auto Center Dr
Palmdale, CA 93551
Phone (661) 206-6262

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

558 Saint Charles Dr
Ste 200
Thousand Oaks, CA 91360
Phone (805) 379-2322

23560 Madison St
Torrance, CA 90505
Phone (310) 325-6331

3805 Telegraph Rd
Ventura, CA 93003
Phone (805) 644-9001

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

696 Hampshire Rd
Ste 160
Westlake Vlg, CA 91361
Phone (805) 494-3377

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1407566912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 E 6TH ST APT B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908147364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422812",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITCHON",
        "first_name": "REX",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-25",
        "last_updated": "2023-09-21",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95049450",
            "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": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.