Individual provider Active NPI

Stephanie L. Harris, CRNA

  • Certified Registered Nurse Anesthetist
  • Palm Springs, CA
National Provider Identifier
1528378486
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4017 Issued in CA
Practice address
1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone
(760) 323-6511
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 164762-30 WI
Certified Registered Nurse Anesthetist 367500000X 149475-4 MN
Certified Registered Nurse Anesthetist 367500000X 4017 CA Primary

Addresses

Primary practice location

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Mailing address

10 Commerce Dr
New Rochelle, NY 10801-5253
Phone (914) 637-3530

Other practice location 1

44139 Monterey Ave Ste B
Palm Desert, CA 92260-8700
Phone (760) 773-4411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000338 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355521949 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians

Practice addresses (Care Compare)

420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 324-4647

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4017CAMDPhysical Rehabilitation Occupational Therapist
149475-4MNMDCertified Registered Nurse Anesthetist
164762-30WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Nursing Anesthesia Services Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Palm Springs Anesthesia Services, PC CurrentSince Aug 31, 2015 Accepting new patients
Desert Cities Anesthesia Professionals Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
Mission Nursing Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Feb 1, 2023 Accepting new patients
Burbank Anesthesia Associates a Professional Medical Corporation CurrentSince Feb 1, 2021 Accepting new patients
Alexander P. Hersel, M.D., Inc CurrentSince Nov 1, 2021 Accepting new patients
Tower Anesthesia Associates Inc CurrentSince Sep 1, 2019 Accepting new patients
Olympic Anesthesia Partnership CurrentSince Mar 1, 2022 Accepting new patients
San Gabriel Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince May 18, 2021 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Feb 1, 2023 Accepting new patients
MD Solutions Medical Corp CurrentSince Dec 1, 2021 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Raelle Anesthesia Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Metro Nursing Anesthesia Services Inc Nurse Anesthetist, Certified Registered PastSince Dec 22, 2020 Accepting new patients

Locations

288 N Santa Anita Ave
Ste 404
Arcadia, CA 91006
Phone (626) 289-2223

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

2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

9090 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 421-0066

9001 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 275-1646

2211 W Magnolia Blvd
Ste 205B
Burbank, CA 91506
Phone (818) 588-4150

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

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

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

420 E 3rd St
Ste 110
Los Angeles, CA 90013
Phone (213) 617-9194

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

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

815 Auto Center Dr
Palmdale, CA 93551
Phone (661) 206-6262

35800 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 699-5000

15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 906-2141

1120 Newbury Rd
Ste 150
Thousand Oaks, CA 91320
Phone (805) 557-0096

28049 Smyth Dr
Valencia, CA 91355
Phone (661) 705-9706

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Organizations & group practices 15

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.

View all 15

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": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1528378486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMMERCE DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015253",
            "telephone_number": "914-637-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44139 Monterey Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922608700",
            "country_code": "US",
            "telephone_number": "760-773-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "164762-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "149475-4",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.