Individual provider Active NPI

Ernest S Alcantara, CRNA

  • Certified Registered Nurse Anesthetist
  • Colton, CA
National Provider Identifier
1881999126
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4006 Issued in CA
Practice address
400 N Pepper Ave
Anesthesia Dept. 2ND Floor
Colton, CA 92324-1801
Phone
(909) 580-2440
Fax
(909) 580-2441
NPI assigned
Jan 18, 2011
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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 4006 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Anesthesia Dept. 2ND Floor
Colton, CA 92324-1801

Mailing address

PO Box 765
Colton, CA 92324-0800
Phone (909) 889-7084

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000613 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305028028 Reassigns benefits to 5 organizations
Practice locations: Colton, CA

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
JP Anesthesia IncGroup PAC ID 1759750193, 14 clinicians
Sky Anesthesia IncGroup PAC ID 8426481342, 4 clinicians
Southern California Permanente Medical GroupGroup PAC ID 6002729175, shared by 4 NPIs, 11,250 clinicians

Practice addresses (Care Compare)

1281 W C St
Colton, CA 92324-1916
Phone 9097470371300

4477 W 118TH St
Suite 501
Hawthorne, CA 90250-2260
Phone (213) 465-0994

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4006CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reekeshrpatelmd Inc CurrentSince Mar 7, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2019 Accepting new patients
JP Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Kris J Storkersen M D Inc CurrentSince Dec 12, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Sky Anesthesia Inc. CurrentSince Jun 17, 2020 Accepting new patients
Pacific Vascular Access Care, Inc Nurse Anesthetist, Certified Registered PastSince May 1, 2024 Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1281 W C St
Colton, CA 92324
Phone (909) 580-3353

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1881999126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240800",
            "telephone_number": "909-889-7084",
            "fax_number": "909-889-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "ANESTHESIA DEPT. 2ND FLOOR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-2440",
            "fax_number": "909-580-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTARA",
        "first_name": "ERNEST",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.