Kevin Ross Gustafson, CRBA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95000397 Issued in CA

Practice address

6358 Sombrero Ave
Cypress, CA 90630-5326

Phone

(562) 225-0025

NPI assigned

Jul 7, 2015

Last updated

Jan 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Raelle Anesthesia IncGroup PAC ID 8123260874, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Raelle Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Riverside, CA
  • NPI 1437499266

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Advanced Anesthesia Specialists a Medical Corporation

  • Anesthesiology Physician
  • West Hills, CA
  • NPI 1871733600
  Medicare reassignment NPD
• Brand Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
  • NPI 1437537107
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Santa Ana, CA
  • NPI 1740519081
  Medicare reassignment NPD
• MD Solutions Medical Corp

  dba Unified Health care Inc.

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1902837735
  Medicare reassignment NPD
• Regents of the University of

  dba University Anesthesia Associates

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1487602546
  Medicare reassignment NPD
• Tower Anesthesia Associates Inc

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1407370901
  Medicare reassignment NPD
• Advanced Anesthesia Specialists a Medical Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1083130553
  NPD
• Golden Springs Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Cathedral City, CA
  • NPI 1659885325
  NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Baldwin Park, CA
  • NPI 1154626315
  NPD
• KND Development 59, LLC

  dba Specialty Hospitals Broken Arrow

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452988800000",
    "number": "1710360938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6358 SOMBRERO AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305326",
            "telephone_number": "562-225-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6358 SOMBRERO AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305326",
            "telephone_number": "562-225-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "KEVIN",
        "middle_name": "ROSS",
        "credential": "CRBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2016-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Griffin, OTR/L
• Marcy Marie Griffitts, ATC
• Ambar Xhante Gudino, PSY.D
• Jeanette Guerrero Monreal
• Matthew Guevara, PT
• Ha Tran Kwong O.D., Inc. (Advantage Eyecare Optometry, INC.)
• Dawn Ann Hageman, PT, DPT, OCS, CSCS
• Stephen Hager, M.S.
• Kerry Anne Haggerty, CCC-SLP
• James Patrick Hall, D.O.

• Certified Registered Nurse Anesthetist in Cypress, CA
• Providers in Cypress, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2016; 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.