NPIMap

Individual provider Active NPI

Cameron Hershey, CRNA, RN

  • Certified Registered Nurse Anesthetist
  • Laguna Niguel, CA
National Provider Identifier
1457122871
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002809 Issued in CA
Practice address
27701 Country Lane Rd
Laguna Niguel, CA 92677-3775
Phone
(909) 635-8861
NPI assigned
Jan 15, 2024
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95002809 CA Primary
Registered Nurse 163W00000X 95109657 CA
Flight Registered Nurse 163WF0300X 95109657 CA

Addresses

Primary practice location

27701 Country Lane Rd
Laguna Niguel, CA 92677-3775

Mailing address

27701 Country Lane Rd
Laguna Niguel, CA 92677-3775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260506001468 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709354996 Reassigns benefits to 3 organizations
I20260512003366 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709354996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Anesthesia PLLCGroup PAC ID 4284813940, 83 clinicians
Vasa Anesthesia Professional CorporationGroup PAC ID 9133665482, 22 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

5330 S Hwy 95
Fort Mohave, AZ 86426-9225
Phone (928) 788-2273

8741 Alden Dr
Suite C
Los Angeles, CA 90048-3692
Phone (323) 693-8832

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95109657CAMDFlight Registered Nurse

Organizations & group practices 4

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 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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1457122871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27701 COUNTRY LANE RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27701 COUNTRY LANE RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773775",
            "telephone_number": "909-635-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHEY",
        "first_name": "CAMERON",
        "name_prefix": "Mr.",
        "credential": "CRNA, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002809",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95109657",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "CA",
            "license": "95109657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.