NPIMap

Organization Active NPI

Bairos Nursing Anesthesia,Inc

  • Certified Registered Nurse Anesthetist
  • Redlands, CA
National Provider Identifier
1861744161
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3807 Issued in CA
Legal business name
BAIROS NURSING ANESTHESIA,INC
Practice address
429 Marilyn LN
Redlands, CA 92373-7327
Phone
(951) 312-8034
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johnny Bairos, CRNANPI 1366776205
Title
President
Phone
(951) 312-8034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 3807 CA Primary

Addresses

Primary practice location

429 Marilyn LN
Redlands, CA 92373-7327

Mailing address

429 Marilyn LN
Redlands, CA 92373-7327
Phone (951) 312-8034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130102000297 CA Part B Supplier - Clinic/Group Practice 4789837550 Receives reassigned benefits from 20 practitioners
Practice locations: Colton, CA; Rancho Mirage, CA; Victorville, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1861744161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 MARILYN LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737327",
            "telephone_number": "951-312-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MARILYN LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737327",
            "telephone_number": "951-312-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIROS NURSING ANESTHESIA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "BAIROS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-312-8034",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.