NPIMap

Organization Active NPI

SB Anesthesia Inc a Professional Nursing Corp

  • Certified Registered Nurse Anesthetist
  • Hemet, CA
National Provider Identifier
1952816787
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SB ANESTHESIA INC A PROFESSIONAL NURSING CORP
Practice address
1003 E Florida Ave Ste 101
Hemet, CA 92543-4510
Phone
(310) 990-3461
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Scott Thomas Bertrand, CRNANPI 1982778775
Title
Owner/Provider
Phone
(310) 990-3461

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 Primary

Addresses

Primary practice location

1003 E Florida Ave Ste 101
Hemet, CA 92543-4510

Mailing address

PO Box 8887
Greenville, TX 75404-8887
Phone (903) 455-0168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180130000679 CA Part B Supplier - Clinic/Group Practice 6709146392 Receives reassigned benefits from 6 practitioners
Practice locations: Hemet, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1952816787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8887",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048887",
            "telephone_number": "903-455-0168",
            "fax_number": "903-454-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E FLORIDA AVE STE 101",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434510",
            "telephone_number": "310-990-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB ANESTHESIA INC A PROFESSIONAL NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "310-990-3461",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.