Individual provider Active NPI

Daniel E Clayton, CRNA

  • Certified Registered Nurse Anesthetist
  • Alta Loma, CA
National Provider Identifier
1710176342
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
508674 Issued in CA
Practice address
5595 Topaz St
Alta Loma, CA 91701-1910
Phone
(909) 466-0511
NPI assigned
Oct 19, 2007
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 508674 CA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191111001643 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951470194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 CaGroup PAC ID 5496094823, 68 clinicians
Down Below Certified Registered Nursing Anesthesia PCGroup PAC ID 1557802733, 5 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
508674CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Down Below Certified Registered Nursing Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2025 Accepting new patients
Sda Services of Ca CurrentSince Jan 14, 2019 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 23, 2023 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

Organizations & group practices 4

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 3

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1710176342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 TOPAZ ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917011910",
            "telephone_number": "909-466-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 TOPAZ ST",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917011910",
            "telephone_number": "909-466-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "508674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alta Loma, CA

Sources for this page

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