Active NPI
Brian L Lupo, CRNA
- Certified Registered Nurse Anesthetist
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8424
- Practice address
- 2629 N 7TH St
Sheboygan, WI 53083-4932 - Phone
- (920) 451-5000
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 8424 | WI | Primary |
Addresses
Primary practice location
2629 N 7TH St
Sheboygan, WI 53083-4932
Mailing address
2629 N 7TH St
Sheboygan, WI 53083-4932
Phone (920) 451-5000
Other practice location 1
16506 Lakewood Blvd Ste 200
Bellflower, CA 90706-5165
Phone (562) 888-8961
Other practice location 2
6076 Bristol Pkwy Ste 108
Culver City, CA 90230-6600
Phone (310) 348-9604
Other practice location 3
12827 Harbor Blvd Ste G1
Garden Grove, CA 92840-5839
Phone (714) 534-1685
Other practice location 4
1660 W 3rd St
Los Angeles, CA 90017-1138
Phone (213) 201-0850
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | blupo201769@direct.myadvocateaurora.org | ||
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
Practice addresses (Care Compare)
1660 W 3Rd St
Los Angeles, CA 90017-1138
Phone (213) 201-0850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8424 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Access Care Anesthesia of California PC | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
16506 Lakewood Blvd
Ste 200
Bellflower, CA 90706
Phone (562) 867-5300
6076 Bristol Pkwy
Ste 108
Culver City, CA 90230
Phone (310) 248-9604
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
12827 Harbor Blvd
Ste G1
Garden Grove, CA 92840
Phone (714) 534-1680
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850
3600 Broadway
Oakland, CA 94611
Phone (510) 752-6238
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- brian.lupo.p75@direct.aac.nextgenshare.com
- brian.lupo.p184@direct.aac.nextgenshare.com
- brian.lupo.p25@direct.aac.nextgenshare.com
- brian.lupo.p105@direct.aac.nextgenshare.com
- brian.lupo.p117@direct.aac.nextgenshare.com
- brian.lupo.p95@direct.aac.nextgenshare.com
- brian.lupo.p183@direct.aac.nextgenshare.com
- brian.lupo.p186@direct.aac.nextgenshare.com
- blupo201769@direct.myadvocateaurora.org
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.
-
- Anesthesiology Physician
- Bellflower, CA
- NPI 1528726809
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1942794557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 N 7TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530834932",
"telephone_number": "920-451-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 N 7TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530834932",
"telephone_number": "920-451-5000"
}
],
"practiceLocations": [
{
"address_1": "16506 Lakewood Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907065165",
"country_code": "US",
"telephone_number": "562-888-8961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6076 Bristol Pkwy Ste 108",
"address_purpose": "LOCATION",
"city": "Culver City",
"state": "CA",
"postal_code": "902306600",
"country_code": "US",
"telephone_number": "310-348-9604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12827 Harbor Blvd Ste G1",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928405839",
"country_code": "US",
"telephone_number": "714-534-1685",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1660 W 3rd St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171138",
"country_code": "US",
"telephone_number": "213-201-0850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUPO",
"first_name": "BRIAN",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "8424",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2629 N 7th St",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530834932",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blupo201769@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2629 N 7th St",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530834932",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "275 W MacArthur Blvd",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946115641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.