Individual provider Active NPI

Kolleen Paradise

  • Certified Registered Nurse Anesthetist
  • Altadena, CA
National Provider Identifier
1821313321
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3989 Issued in CA
Practice address
835 E. Calaveras St.
Altadena, CA 91001
Phone
(619) 405-2521
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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 RN60188819 WA
Certified Registered Nurse Anesthetist 367500000X 3989 CA Primary

Addresses

Primary practice location

835 E. Calaveras St.
Altadena, CA 91001

Mailing address

43 1/2 Thornton Ave
Venice, CA 90291-3110
Phone (619) 405-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120328000309 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608057146 Reassigns benefits to 5 organizations
I20250904002394 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608057146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 20TH St
Suite 280
Santa Monica, CA 90404-2053
Phone (310) 829-6789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3989CAMDOccupational Therapist
RN60188819WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Institute of the South Bay Current Accepting new patients
Synergy Anesthesia a Professional Nursing Corp Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Skyline Urology Current Accepting new patients
Digestive Health Associates of Southern California Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Digestive Health Associates of Southern California CurrentSince Aug 1, 2024 Accepting new patients
Amsurg South Bay Anesthesia LP CurrentSince Jul 1, 2023 Accepting new patients
Lowell Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Genesis Healthcare Partners PC CurrentSince Sep 1, 2024 Accepting new patients
La Jolla Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Jeffrey Hua, Crna, Nursing, Inc. Nurse Anesthetist, Certified Registered PastSince May 29, 2022 Accepting new patients

Locations

9850 Genesee Ave
Ste 980
La Jolla, CA 92037
Phone (858) 453-7525

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

10 Congress St
Ste 410
Pasadena, CA 91105
Phone (626) 412-2838

1301 20th St
Ste 280
Santa Monica, CA 90404
Phone (310) 829-6789

1001 Fremont Ave
Unit 3099
South Pasadena, CA 91031

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

23560 Madison St
Torrance, CA 90505
Phone (310) 325-6331

59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1821313321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 1/2 THORNTON AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913110",
            "telephone_number": "619-405-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E. CALAVERAS ST.",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "91001",
            "telephone_number": "619-405-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISE",
        "first_name": "KOLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "RN60188819",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.