KLS Anesthesia Nursing Apc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

KLS ANESTHESIA NURSING APC

Practice address

12264 El Camino Real Ste 55
San Diego, CA 92130-3059

Phone

(858) 755-3937

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Kimberly Liss, CRNANPI 1457491938

Title

Owner

Phone

(410) 746-3413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Liss, BSN, MSN, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
  • NPI 1457491938
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1710755210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 55",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303059",
            "telephone_number": "858-755-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLS ANESTHESIA NURSING APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-746-3413",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peta A Klitofsky, RPH
• Anastasiia Kliuchka
• Amanda Klokstad
• Isabella Klopchin, MS CF-SLP
• KLP Global (Balance Wellness)
• Jenna Audrey Klubnick, MD, MS
• Caitlin Klunk, PT
• Julie Klus, PT, CMT
• Maureen Klus, RPT
• Carolyn Klusmeier, LMFT 119360

• Certified Registered Nurse Anesthetist in San Diego, CA
• Providers in San Diego, 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 Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.