Individual provider Active NPI

Renae C. Zimmer, CRNA

  • Certified Registered Nurse Anesthetist
  • West Hills, CA
National Provider Identifier
1972720449
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3485 Issued in CA
Practice address
7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024
Phone
(818) 348-7246
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 3485 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr Ste 500
West Hills, CA 91307-4024

Mailing address

13370 N 5TH Ave
Boise, ID 83714-9470
Phone (661) 714-0002

Other identifiers 1

IdentifierTypeStateIssuer
RN5466050MedicaidCA

Other names 1

  • Mrs. Renae C Mendez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000669 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042308090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP CurrentSince Sep 1, 2018 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Apr 16, 2018 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Current Accepting new patients
Hullander and Mozingo LP CurrentSince Sep 1, 2018 Accepting new patients

Locations

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

7230 Medical Center Dr
Ste 405
West Hills, CA 91307

7230 Medical Center Dr
Ste 500B
West Hills, CA 91307

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1972720449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13370 N 5TH AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149470",
            "telephone_number": "661-714-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 500",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074024",
            "telephone_number": "818-348-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "RENAE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN5466050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "MENDEZ",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.