Kevin Ross Gustafson, CRBA - Medicare Nurse Anesthetist, Certified Registered in Cypress, CA

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Kevin Ross Gustafson, CRBA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cypress, California. His current practice location is 6358 Sombrero Ave, Cypress, California. You can reach out to his office (for appointments etc.) via phone at (562) 225-0025.

Kevin Ross Gustafson is licensed to practice in California (license number 95000397) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710360938.

Contact Information

Kevin Ross Gustafson, CRBA
6358 Sombrero Ave,
Cypress, CA 90630-5326
(562) 225-0025
Not Available

Map and Direction




Provider's Profile

Full NameKevin Ross Gustafson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location6358 Sombrero Ave, Cypress, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710360938
  • Provider Enumeration Date: 07/07/2015
  • Last Update Date: 01/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6800106915
  • Enrollment ID: I20160315002007

Medical Identifiers

Medical identifiers for Kevin Ross Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710360938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 95000397 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin Ross Gustafson allows following entities to bill medicare on his behalf.
Entity NameRegents Of The University Of
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487602546
PECOS PAC ID: 8729983473
Enrollment ID: O20031204001085
Entity NameMd Solutions Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902837735
PECOS PAC ID: 1759379993
Enrollment ID: O20040505000671
Entity NameAdvanced Anesthesia Specialists A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871733600
PECOS PAC ID: 0042340705
Enrollment ID: O20100608000088
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740519081
PECOS PAC ID: 3678602802
Enrollment ID: O20100724000249
Entity NameRaelle Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437499266
PECOS PAC ID: 8123260874
Enrollment ID: O20130809000303
Entity NameTower Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407370901
PECOS PAC ID: 3375815723
Enrollment ID: O20170818001842
Entity NameBrand Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1437537107
PECOS PAC ID: 7810205226
Enrollment ID: O20180612003371

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Ross Gustafson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Ross Gustafson, CRBA
6358 Sombrero Ave,
Cypress, CA 90630-5326

Ph: (562) 225-0025		Kevin Ross Gustafson, CRBA
6358 Sombrero Ave,
Cypress, CA 90630-5326

Ph: (562) 225-0025

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Cypress, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.