Individual provider Active NPI

Ala Abedrabbo

  • Certified Registered Nurse Anesthetist
  • Colton, CA
National Provider Identifier
1972333144
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002451 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1819
Phone
(909) 580-1000
NPI assigned
Aug 3, 2024
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95002451 CA Primary
Registered Nurse 163W00000X 95183160 CA

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1819

Mailing address

400 N Pepper Ave
Colton, CA 92324-1819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001177 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224562970 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Raelle Anesthesia IncGroup PAC ID 8123260874, 11 clinicians
Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians

Practice addresses (Care Compare)

15248 11TH St
Victorville, CA 92395-3704
Phone (760) 245-8691

16030 Kamana Rd
Apple Valley, CA 92307-1335
Phone (760) 946-0618

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-2440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95183160CAMDRegistered Nurse
95002451CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Nov 1, 2025 Accepting new patients
Raelle Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Golden Springs Surgical Center CurrentSince Sep 1, 2025 Accepting new patients
Inland Empire Anesthesia Medical Group, Inc CurrentSince Oct 6, 2024 Accepting new patients
Bairos Nursing Anesthesia,Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2024 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Nov 1, 2025 Accepting new patients
Desert View Endoscopy Center, LLC. Past Accepting new patients
Socal Anesthesia Solutions, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Genesis Healthcare Partners PC Past Accepting new patients
Kris J Storkersen M D Inc PastSince Mar 29, 2020 Accepting new patients

Locations

16030 Kamana Rd
Apple Valley, CA 92307
Phone (760) 617-7718

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

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

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

900 E Washington St
Ste 155
Colton, CA 92324
Phone (909) 370-2190

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

10694 Magnolia Ave
Riverside, CA 92505
Phone (951) 335-5250

1003 E Brier Dr
Ste 170
Sn Bernrdno, CA 92408
Phone (909) 370-2190

12595 Hesperia Rd
Victorville, CA 92395
Phone (760) 881-3377

12595 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 881-3377

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

Organizations & group practices 12

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 2

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": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1972333144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241819",
            "telephone_number": "909-580-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDRABBO",
        "first_name": "ALA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002451",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95183160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 9, 2024; 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.