Individual provider Active NPI

Jason Sherman, CRNA

  • Certified Registered Nurse Anesthetist
  • Colton, CA
National Provider Identifier
1477569317
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA 3048 Issued in CA
Practice address
900 E Washington St
Ste. 100
Colton, CA 92324-7111
Phone
(909) 370-2190
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 NA 3048 CA Primary

Addresses

Primary practice location

900 E Washington St
Ste. 100
Colton, CA 92324-7111

Mailing address

11999 San Vicente Blvd
Ste. 440
Los Angeles, CA 90049-5131
Phone (310) 440-3131

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
I20050621001283 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830133412 Reassigns benefits to 3 organizations
Practice locations: Hemet, CA; Temecula, CA

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians
Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians

Practice addresses (Care Compare)

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

1180 N Indian Canyon Dr
Suite W110
Palm Springs, CA 92262-4886
Phone (706) 416-4600

Hospital & facility affiliations

  • Kaiser Foundation Hospital, Riverside Hospital, Riverside, CA, CCN 050686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NA 3048CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Oct 11, 2018 Accepting new patients
Desert Cities Anesthesia Professionals Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2024 Accepting new patients
Aria Anesthesia Group Inc CurrentSince May 1, 2025 Accepting new patients
Hemet Healthcare Surgicenter, Inc. Past Accepting new patients

Locations

18400 US Highway 18
Ste B
Apple Valley, CA 92307
Phone (760) 515-6260

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

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

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

47120 Dune Palms Rd
Ste 111
La Quinta, CA 92253
Phone (760) 219-0155

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

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

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

72650 Fred Waring Dr
Ste 103
Palm Desert, CA 92260
Phone (760) 810-7587

44651 Village Ct
Ste 104
Palm Desert, CA 92260
Phone (760) 249-2222

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

Organizations & group practices 5

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.

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1477569317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "STE. 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-440-3131",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "STE. 100",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247111",
            "telephone_number": "909-370-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA 3048",
            "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": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.