Individual provider Active NPI

Annemarie Jayne Wiley, CRNA

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
National Provider Identifier
1740618065
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000029 Issued in CA
Practice address
1500 San Pablo St
4TH Floor
Los Angeles, CA 90033-5313
Phone
(323) 442-7400
NPI assigned
Oct 23, 2013
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000029 CA Primary
Registered Nurse 163W00000X 659845 CA

Addresses

Primary practice location

1500 San Pablo St
4TH Floor
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-7400

Other names 1

  • Annemarie Krygsveld Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131223001028 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123255031 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2211 W Magnolia Blvd
Suite 205B
Burbank, CA 91506-1753
Phone (818) 588-4150

7230 Medical Ctr Dr
Suite 500
West Hills, CA 91307-4024
Phone (818) 348-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
659845CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Jordan, M.D., Inc. CurrentSince Feb 26, 2018 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Sep 25, 2025 Accepting new patients
Foothill Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2018 Accepting new patients
Burbank Anesthesia Associates a Professional Medical Corporation CurrentSince Sep 15, 2025 Accepting new patients
Apa Medical Group, Inc. CurrentSince May 10, 2025 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Sep 25, 2025 Accepting new patients
Apmc Medical Group Inc Past Accepting new patients
Mark T Kidon DPM Facfas a Podiatry Corporation PastSince Jan 7, 2005 Accepting new patients
Genesis Healthcare Partners PC PastSince Jun 10, 2024 Accepting new patients
National Ambulatory Surgery Center, LLC Past Accepting new patients

Locations

707 S Garfield Ave
Ste 101
Alhambra, CA 91801
Phone (626) 656-1285

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

2211 W Magnolia Blvd
Ste 205B
Burbank, CA 91506
Phone (818) 588-4150

1849 Old Bayshore Hwy
Fl 3
Burlingame, CA 94010
Phone (650) 209-5894

19671 Beach Blvd
Ste 321
Huntington Beach, CA 92648
Phone (310) 453-4477

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

10921 Wilshire Blvd
Ste 1111
Los Angeles, CA 90024
Phone (310) 879-5203

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

301 S Fair Oaks Ave
Ste 106
Pasadena, CA 91105
Phone (213) 407-4416

301 S Fair Oaks Ave
Ste 301
Pasadena, CA 91105
Phone (626) 714-7347

207 S Santa Anita St
Ste G16
San Gabriel, CA 91776
Phone (626) 289-2223

15243 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 419-6659

7230 Medical Center Dr
Ste 405
West Hills, CA 91307

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1740618065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "address_2": "4TH FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "ANNEMARIE",
        "middle_name": "JAYNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000029",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "659845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNEMARIE",
            "last_name": "KRYGSVELD",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.