Individual provider Active NPI

Kimberly Gerber, CRNA

  • Certified Registered Nurse Anesthetist
  • Orange, CA
National Provider Identifier
1801288550
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001115 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-8888
NPI assigned
Mar 4, 2015
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001115 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200120000233 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466887575 Reassigns benefits to 6 organizations
Practice locations: Red Bluff, CA

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Group of Imperial Valley IncGroup PAC ID 9335379775, 20 clinicians
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians

Practice addresses (Care Compare)

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333

835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone (619) 425-7755

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Gastroenterology Anesthesia Specia Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2020 Accepting new patients
Concierge Anesthesia CurrentSince Feb 1, 2024 Accepting new patients
Regents of the University of CurrentSince Feb 13, 2024 Accepting new patients
Vallot Nurse Anesthesia, a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 24, 2022 Accepting new patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2024 Accepting new patients
University of California Irvine Past Accepting new patients
Heart of San Diego Surgical Center LLC PastSince Jun 18, 2023 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

681 Third Ave
#B
Chula Vista, CA 91910
Phone (619) 425-2150

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

2732 Navajo Rd
Ste 100
El Cajon, CA 92020
Phone (619) 266-3332

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

25485 Medical Center Dr
Ste 106
Murrieta, CA 92562
Phone (585) 755-0523

3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2550 Sister Mary Columba Dr
#D
Red Bluff, CA 96080
Phone (530) 529-8000

2805 J St
Ste 200
Sacramento, CA 95816
Phone (916) 231-8755

286 Euclid Ave
Ste 109
San Diego, CA 92114
Phone (619) 266-1653

286 Euclid Ave
Ste 110
San Diego, CA 92114

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

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 1

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1801288550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "KIMBERLY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.