Active NPI
Annie Muco Iacarella, CRNA
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA95001158
- Practice address
- 1500 San Pablo St
Los Angeles, CA 90033-5313 - Phone
- (323) 442-7400
- NPI assigned
- Sep 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R20857-0 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | NA95001158 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St
Los Angeles, CA 90033-5313
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-7400
Other names 1
- Annie Muco
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | annie.iacarella@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 Treeline Park
San Antonio, TX 78209-2042
Phone (210) 294-8004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2109 | MN | MD | Athletic Trainer |
| NA95001158 | CA | MD | Certified Registered Nurse Anesthetist |
| R20857-0 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed Staffing LLC | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations (25 of 36)
7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720
110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006
138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441
7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104
403 Treeline Park
Bldg 1
San Antonio, TX 78209
Phone (210) 294-8000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
2116 Babcock Rd
San Antonio, TX 78229
Phone (210) 202-0288
1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000
9618 Huebner Rd
Ste 111
San Antonio, TX 78240
Phone (210) 942-0999
19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355
710 Knights Cross Dr
San Antonio, TX 78258
Phone (210) 934-5471
4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584
6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289
19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100
1927 Rogers Rd
San Antonio, TX 78251
Phone (205) 263-7863
6427 Old Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 704-0465
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000
7909 Fredericksburg Rd
Ste 222
San Antonio, TX 78229
Phone (210) 581-5900
9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Dental Clinic/Center
- San Antonio, TX
- NPI 1760424873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1831618982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "323-442-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACARELLA",
"first_name": "ANNIE",
"middle_name": "MUCO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-10",
"last_updated": "2023-11-27",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R20857-0",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA95001158",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "annie.iacarella@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 San Pablo St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900335313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "MUCO",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.