Individual provider Active NPI

Debra Hawk, CRNA

  • Certified Registered Nurse Anesthetist
  • Downey, CA
National Provider Identifier
1437194461
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
388406 Issued in CA
Practice address
8555 Florence Ave
Downey, CA 90240-4014
Phone
(562) 923-9351
Fax
(526) 869-8120
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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 388406 CA Primary

Addresses

Primary practice location

8555 Florence Ave
Downey, CA 90240-4014

Mailing address

PO Box 1007
Murrieta, CA 92564-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706001112 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901842418 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2098CAMDSpeech-Language Assistant
388406CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Kesell Productions Inc DLH Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Endo Anesthesia Services, Inc PastSince Apr 21, 2009 Accepting new patients
Regents of the University of California Nurse Anesthetist, Certified Registered Past Accepting new patients
Endoscopy Center of Southern California LLC Past Accepting new patients
Regents of the University of California Past Accepting new patients
West Los Angeles Anesthesia Services LLC Past Accepting new patients

Locations

8555 Florence Ave
Downey, CA 90240
Phone (562) 862-9350

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1437194461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 FLORENCE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404014",
            "telephone_number": "562-923-9351",
            "fax_number": "526-869-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "DEBRA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "388406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 23, 2015; 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.