Matthew Wayne Woolverton

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95001087 Issued in CA

Practice address

400 N Pepper Ave
Colton, CA 92324-1819

Phone

(909) 580-2400

NPI assigned

Oct 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Raelle Anesthesia IncGroup PAC ID 8123260874, 11 clinicians

Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

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 and National Provider Directory roles.

• Inland Empire Anesthesia Medical Group, Inc

  • Anesthesiology Physician
  • Colton, CA
  • NPI 1861502841
  Medicare reassignment Care Compare group NPD
• Raelle Anesthesia Inc

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

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Glendora Anesthesia Associates LP

  • Certified Registered Nurse Anesthetist
  • Glendora, CA
  • NPI 1750748331

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Marquee Anesthesia Consultants Inc

  • Certified Registered Nurse Anesthetist
  • Redlands, CA
  • NPI 1760942619

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• San Gabriel Anesthesia Associates, PC

  • Certified Registered Nurse Anesthetist
  • Santa Ana, CA
  • NPI 1538424908

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Golden Springs Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Cathedral City, CA
  • NPI 1659885325
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of San Bernardino

  • General Acute Care Hospital
  • Colton, CA
  • NPI 1720158009
  Care Compare affiliation

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1790250637",
    "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": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241819",
            "telephone_number": "909-580-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLVERTON",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "790267",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lyman Wood, M.D.
• Sharron Woodford - Beale, CADC CAS
• Muriel G Woods, RCAS
• Brandon John-Starr Woodward, M.D.
• Robyn Janine Hampton Woodward, NP
• Christine Wortley, FNP
• Wound Management Institute, Apmc
• Wounded Healers Lifestyle and Wellness Coaching
• Justin David Wren
• Josette E Wright

• Certified Registered Nurse Anesthetist in Colton, CA
• Providers in Colton, 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 Aug 12, 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.

Verify at the official NPI Registry.