Active NPI
Brett Clement, CRNA
- Certified Registered Nurse Anesthetist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 124662
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (714) 880-7812
- NPI assigned
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 124662 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
525 E 68th St
New York, NY 10065-4870
Phone (909) 908-4581
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
295 Imperial Hwy
Suite 200B
Fullerton, CA 92835-1020
Phone (714) 770-8366
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000970 | CA | MD | Family Nurse Practitioner |
| 124662 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Anesthesia Group PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regents of the University of | Current | Accepting new patients | |
| Landmark Anesthesia Medical Group | Current | Accepting new patients | |
| Lightning Anesthesia Nursing Services, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Medhat F. Mikhael, M.D., Inc | Current | Accepting new patients |
Locations
9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340
5562 Philadelphia St
Ste 111
Chino, CA 91710
Phone (626) 967-0352
2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243
295 Imperial Hwy
Ste 200B
Fullerton, CA 92835
Phone (714) 770-8366
16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014
555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636
5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199
24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240
43112 15th St W
Lancaster, CA 93534
Phone (661) 726-2222
3620 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-0060
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555
558 Saint Charles Dr
Ste 200
Thousand Oaks, CA 91360
Phone (805) 379-2322
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
696 Hampshire Rd
Ste 160
Westlake Vlg, CA 91361
Phone (805) 494-3377
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.
-
- Anesthesiology Physician
- Fullerton, CA
- NPI 1477114742
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange, CA
- NPI 1487602546
-
- Anesthesiology Physician
- Lynwood, CA
- NPI 1770035024
-
- Certified Registered Nurse Anesthetist
- Monterey Park, CA
- NPI 1710672316
Nurse Anesthetist, Certified Registered
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Pain Medicine Physician
- Fountain Valley, CA
- NPI 1053341933
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1134151657
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1447732664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-880-7812"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "909-908-4581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEMENT",
"first_name": "BRETT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "124662",
"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": "43112 N 15th St",
"city": "LANCASTER",
"state": "CA",
"country_code": "US",
"postal_code": "935346219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.