Individual provider Active NPI

Kevin Peter Lewis, CRNA

  • Certified Registered Nurse Anesthetist
  • Ridgecrest, CA
National Provider Identifier
1841831955
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
232653 Issued in AZ
Practice address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone
(951) 294-1116
NPI assigned
Oct 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 232653 AZ Primary

Addresses

Primary practice location

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130

Mailing address

1501 Conway Dr
Escondido, CA 92027-1056
Phone (951) 294-1116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212002824 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274966874 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Midwestern University, Chicago College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Anesthesiology of California PCGroup PAC ID 4385027770, 35 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians

Practice addresses (Care Compare)

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 724-8411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95038960CAMDNurse Practitioner
232653AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients
Darin Rentz DO PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Nov 16, 2019 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 1, 2022 Accepting new patients
Sound Physicians Anesthesiology of California PC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2022 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1801 Colorado Ave
Ste 140
Turlock, CA 95382
Phone (209) 216-3470

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

Organizations & group practices 7

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.

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1841831955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CONWAY DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920271056",
            "telephone_number": "951-294-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "951-294-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KEVIN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "232653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.