Individual provider Active NPI

Marcos A. Mayorga Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Hemet, CA
National Provider Identifier
1780277616
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001809 Issued in CA
Practice address
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone
(951) 652-2811
NPI assigned
Feb 11, 2021
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 252990 AZ
Certified Registered Nurse Anesthetist 367500000X 95001809 CA Primary

Addresses

Primary practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Mailing address

31202 Linden Flower Rd
Winchester, CA 92596-8228
Phone (909) 503-8346

Other practice location 1

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131000985 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901212562 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
79.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Aug 8, 2023 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Aug 8, 2023 Accepting new patients
Sda Services of Ca CurrentSince Jan 1, 2025 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2023 Accepting new patients
Liberty Anesthesia Consultants LLC CurrentSince Nov 1, 2022 Accepting new patients
Aspen Anesthesia Services Pain Experts and Nursing Networks Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 24, 2023 Accepting new patients
Darin Rentz DO PC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2025 Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

16030 Kamana Rd
Apple Valley, CA 92307
Phone (760) 617-7718

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

26781 Portola Pkwy
Ste 4E
Foothill Rnch, CA 92610
Phone (949) 251-1502

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

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

29300 Portola Pkwy
Ste A
Lake Forest, CA 92630
Phone (949) 305-3913

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

25915 Barton Rd
Loma Linda, CA 92354
Phone (714) 394-6465

25915 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (714) 394-6465

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

8945 Magnolia Ave
Ste 200
Riverside, CA 92503
Phone (951) 643-4961

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

Organizations & group practices 9

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 2

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1780277616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31202 LINDEN FLOWER RD",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968228",
            "telephone_number": "909-503-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "951-652-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084973",
            "country_code": "US",
            "telephone_number": "602-344-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "MARCOS",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "252990",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.