Individual provider Active NPI

Edwardo Chavelo Weldon, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
National Provider Identifier
1952429607
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001311 Issued in CA
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-4700
Phone
(559) 998-2648
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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 95001311 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-4700

Mailing address

937 Franklin Blvd
Lemoore, CA 93246-4700
Phone (559) 998-2648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130307000010 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759536212 Reassigns benefits to 1 organization
I20170209001146 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759536212 Reassigns benefits to 2 organizations
I20210401001103 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759536212 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95001311CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2016 Accepting new patients
Temecula Ca Endoscopy ASC LP Current Accepting new patients
Comfort Anesthesia Associates Inc CurrentSince Apr 30, 2024 Accepting new patients
Temecula Ca United Surgery Center, LP CurrentSince Mar 29, 2021 Accepting new patients
Temecula Ca Endoscopy ASC LP CurrentSince Mar 30, 2021 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 10, 2016 Accepting new patients
Temecula Ca United Surgery Center LP CurrentSince Mar 29, 2021 Accepting new patients
Duplin General Hospital, Incorporated CurrentSince Feb 1, 2013 Accepting new patients
Coachella Valley Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2024 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

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

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 10

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1952429607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN BLVD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932464700",
            "telephone_number": "559-998-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921344700",
            "telephone_number": "559-998-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "EDWARDO",
        "middle_name": "CHAVELO",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.