Individual provider Active NPI

Lucine Kawecki, CRNA

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
National Provider Identifier
1942770151
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001004 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone
(310) 825-9111
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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 95001004 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-8358

Mailing address

660 The VLG Unit 310
Redondo Beach, CA 90277-2744
Phone (818) 635-7153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001277 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153661533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Vision Nurse Anesthesia Group IncGroup PAC ID 5890148829, 23 clinicians

Practice addresses (Care Compare)

16255 Ventura Blvd
Suite 100
Encino, CA 91436-2300
Phone (818) 783-2346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95001004CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Anesthesia Services CurrentSince Aug 9, 2023 Accepting new patients
Precision Anesthesia Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Regents of the University of California Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040

450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050

16255 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 783-2340

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

File 4501
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800

1801 W Olympic Blvd
#2100
Pasadena, CA 91199

1245 16th St
Santa Monica, CA 90404
Phone (310) 794-1841

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

3180 Willow Ln
Ste 116
Thousand Oaks, CA 91361
Phone (310) 880-8416

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1942770151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 THE VLG UNIT 310",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772744",
            "telephone_number": "818-635-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-825-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWECKI",
        "first_name": "LUCINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 29, 2018; 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.