Individual provider Active NPI

Krysta Coromelas

  • Registered Nurse
  • Pasadena, CA
National Provider Identifier
1659109429
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95154377 Issued in CA
Practice address
100 S Los Robles Ave Unit 501
Pasadena, CA 91101-2453
Phone
(626) 564-3016
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95154377 CA Primary

Addresses

Primary practice location

100 S Los Robles Ave Unit 501
Pasadena, CA 91101-2453

Mailing address

32153 Paseo San Esteban
Temecula, CA 92592-1231
Phone (559) 547-1373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106000645 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880184043 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
Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians

Practice addresses (Care Compare)

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-2440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95154377CAMDRegistered Nurse
95002733CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Anesthesia Medical Group, Inc CurrentSince Oct 1, 2025 Accepting new patients
Kris J Storkersen M D Inc PastSince Mar 29, 2020 Accepting new patients

Locations

400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

Organizations & group practices 2

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 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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1659109429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32153 PASEO SAN ESTEBAN",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921231",
            "telephone_number": "559-547-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S LOS ROBLES AVE UNIT 501",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012453",
            "telephone_number": "626-564-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COROMELAS",
        "first_name": "KRYSTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95154377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.