Organization Active NPI

Critical Care Registered Nursing Nurse Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Ridgecrest, CA
National Provider Identifier
1669735080
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CRITICAL CARE REGISTERED NURSING NURSE ANESTHESIA INC
Practice address
1111 N China Lake Blvd
220
Ridgecrest, CA 93555-3131
Phone
(760) 446-8100
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Ms. Gloria C. Angeles, CRNA
Title
Crna
Phone
(818) 518-3537

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 3167 CA
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1111 N China Lake Blvd
220
Ridgecrest, CA 93555-3131

Mailing address

5826 Kelvin Ave
Woodland Hills, CA 91367-5313
Phone (818) 518-3537

National Provider Directory

National Provider Directory

Locations

28222 Agoura Rd
Agoura Hills, CA 91301
Phone (818) 991-6226

1111 N China Lake Blvd
Ste 220
Ridgecrest, CA 93555
Phone (760) 446-8100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1669735080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 KELVIN AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675313",
            "telephone_number": "818-518-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N CHINA LAKE BLVD",
            "address_2": "220",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-446-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE REGISTERED NURSING NURSE ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "818-518-3537",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "3167",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.