Louie Amparo, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Brawley, CA
NPI 1831789213 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1831789213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 95001459 (CA)
- Practice address
- 197 W Legion Rd
Brawley, CA 92227-7727 - Phone
- (760) 351-3333
- NPI assigned
- Jan 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Medical Group of Imperial Valley Inc
Samantha Polikowski Anesthesia Inc
Practice addresses (Care Compare)
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333
25405 Hancock Ave
Suite 103
Murrieta, CA 92562-5978
Phone (951) 698-4670
Hospital & facility affiliations
- Pioneers Memorial Healthcare District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210216001587 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799190229 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samantha Polikowski Anesthesia Inc | Single Specialty | Current |
Accepting new patients |
| Concierge Anesthesia | Single Specialty | Current |
Accepting new patients |
| Pioneers Memorial Healthcare District | Past | Accepting new patients | |
| Heart of San Diego Surgical Center LLC | Past |
Accepting new patients |
Locations
835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755
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
8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502
3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525
3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530
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
41900 Winchester Rd
Temecula, CA 92590
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | 95001459 | CA | Yes |
Addresses
Primary practice location
197 W Legion Rd
Brawley, CA 92227-7727
Mailing address
197 W Legion Rd
Brawley, CA 92227-7727
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@pmhd.org |
Other providers in Brawley, CA
- Delia Aleman
- Ashlee Allen
- Alliance Healthcare Services Inc
- Amber Alvarez
- Claudia Ambriz
- Elissa Renee Anaya
- Andrew Martino Chiropractic Corporation
- Anesthesia Medical Group of Imperial Valley, Inc.
- Stephany Angulo
- Vicenta Cuntapay Anque
All providers in Brawley, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.