Individual provider Active NPI

Kerri Ann Quiroga

  • Certified Registered Nurse Anesthetist
  • Loma Linda, CA
National Provider Identifier
1477259299
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
139577 Issued in CA
Practice address
11234 Anderson St Ste A504
Loma Linda, CA 92354-2804
Phone
(909) 558-4000
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 139577 CA Primary

Addresses

Primary practice location

11234 Anderson St Ste A504
Loma Linda, CA 92354-2804

Mailing address

1255 S Yucca Ave
Rialto, CA 92376-7475
Phone (909) 264-4675

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426002716 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325403330 Reassigns benefits to 2 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
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians

Practice addresses (Care Compare)

10408 Industrial Cir
Redlands, CA 92374-4548
Phone (909) 796-7803

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95002018CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sda Services of Ca CurrentSince May 11, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince May 3, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince May 3, 2023 Accepting new patients
Loma Linda University Children'S Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

11234 Anderson St
Ste A504
Loma Linda, CA 92350
Phone (909) 558-7811

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

25915 Barton Rd
Loma Linda, CA 92354
Phone (714) 394-6465

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

10408 Industrial Cir
Redlands, CA 92374
Phone (909) 796-0363

1408 Industrial Park Ave
Redlands, CA 92374
Phone (909) 247-1120

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

Organizations & group practices 7

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1477259299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S YUCCA AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767475",
            "telephone_number": "909-264-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST STE A504",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROGA",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "139577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.