Active NPI
Sheri Darlene Costellic, CRNA
- Certified Registered Nurse Anesthetist
- San Diego, CA
National Provider Identifier
1821069428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1145
- Practice address
- Naval Medical Center
34800 Bob Wilsondr. Suite409
San Diego, CA 92134-1409 - Phone
- (619) 532-9000
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- 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 | 1145 | CA | Primary |
Addresses
Primary practice location
Naval Medical Center
34800 Bob Wilsondr. Suite409
San Diego, CA 92134-1409
Mailing address
934 Camino de la Reina
San Diego, CA 92108-3240
Phone (619) 688-3079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821069428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 CAMINO DE LA REINA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083240",
"telephone_number": "619-688-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER",
"address_2": "34800 BOB WILSONDR. SUITE409",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341409",
"telephone_number": "619-532-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLIC",
"first_name": "SHERI",
"middle_name": "DARLENE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "1145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.