Active NPI
Anthony J Pecora, CRNA
- Certified Registered Nurse Anesthetist
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA857
- Practice address
- 10800 Magnolia Ave
Riverside, CA 92505-3043 - Phone
- (909) 353-2000
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA857 | CA | Primary |
Addresses
Primary practice location
10800 Magnolia Ave
Riverside, CA 92505-3043
Mailing address
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (909) 353-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050614001472 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9638113236 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tip Top Anesthesia Group Inc
Practice addresses (Care Compare)
1001 Tower Way
Suite 150
Bakersfield, CA 93309-1586
Phone (310) 779-3025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA857 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoscopy Center of the South Bay LP | Current | Accepting new patients | |
| Tip Top Anesthesia Group Inc | Current | Accepting new patients | |
| Endoscopy Center of South Bay LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Amsurg Arcadia Anesthesia LP | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients |
Locations
488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555
1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025
50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896
7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111
23560 Madison St
Ste 109
Torrance, CA 90505
Phone (310) 325-6331
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Torrance, CA
- NPI 1053391169
CA
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
CA
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Physician Assistant
- Downey, CA
- NPI 1528162229
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Torrance, CA
- NPI 1275764334
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1740332196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053043",
"telephone_number": "909-353-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053043",
"telephone_number": "909-353-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECORA",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA857",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10800 Magnolia Ave",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925053043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.