Daniel E Clayton, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Alta Loma, CA
NPI 1710176342 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1710176342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 508674 (CA)
- Practice address
- 5595 Topaz St
Alta Loma, CA 91701-1910 - Phone
- (909) 466-0511
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sda Services of Ca
Down Below Certified Registered Nursing Anesthesia PC
Practice addresses (Care Compare)
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511
820 E Mountain View St
Barstow, CA 92311-3004
Phone (760) 256-1761
Hospital & facility affiliations
- Barstow Community Hospital
- Sutter Coast Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191111001643 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951470194 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 508674 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sda Services of Ca | Current |
Accepting new patients | |
| Down Below Certified Registered Nursing Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Texas Anesthesia Specialists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
1701 S Figueroa St
Los Angeles, CA 90015
Phone (949) 478-4747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 508674 | CA | Yes |
Addresses
Primary practice location
5595 Topaz St
Alta Loma, CA 91701-1910
Mailing address
5595 Topaz St
Alta Loma, CA 91701-1910
Phone (909) 466-0511
Other providers in Alta Loma, CA
- Casa Rose Villa Inc.
- Jamie Castro
- CDR Rancho Cucamonga TRS LLC
- Bob Chen
- Ivy Ya Wen Cheng
- Joanne Sue Claytor
- L. Todd Cochran
- Natalie Corinne Cochran
- Dominique Connor
- Daniel Quesada David
All providers in Alta Loma, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.