SOUTHERN CALIFORNIA GASTROENTEROLOGY ANESTHESIA SPECIALISTS
NPI 1073997359
Nurse Anesthetist, Certified Registered in San Diego, CA

Active since July 16, 2015
286 EUCLID AVE, SUITE #109, SAN DIEGO, CA 92114(619) 266-1653 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2023, Nov 15, 2016 (2 updates tracked since 2016).

About Southern California Gastroenterology Anesthesia Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CALIFORNIA GASTROENTEROLOGY ANESTHESIA SPECIALISTS (NPI 1073997359) is a healthcare organization registered as a nurse anesthetist, certified registered in San Diego, California and active in the NPI registry since July 2015. The organization lists John G Keenan, President, as its authorized official.

NPPES Registry Identity

NPI1073997359
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSOUTHERN CALIFORNIA GASTROENTEROLOGY ANESTHESIA SPECIA
Location Address286 EUCLID AVE, SUITE #109San Diego, CA 92114-3610
Mailing Address286 Euclid Ave Ste 110San Diego, CA 92114-3611 · (310) 792-3914 · Fax (855) 898-4055
Organization SubpartNo
Authorized OfficialJohn G KeenanPresident · (619) 857-8764
Enumeration DateJuly 16, 2015
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1073997359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
286 EUCLID AVE, San Diego, CA 92114

Other Names 1

Doing Business AsSouthern California Gastroenterology Anesthesia Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern California Gastroenterology Anesthesia Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Southern California Gastroenterology Anesthesia Specialists, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1730157843
34800 W. BOB WILSON DRIVE NMCSD ANESTHESIA DEPARTMENT
San Diego, CA 92134
(619) 532-8942
✔ Accepts Medicare3.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801135546
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ Accepts Medicare5.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053585810
4647 ZION AVE
San Diego, CA 92120
(619) 528-5000
✔ Accepts Medicare5.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699138990
7451 GIRARD AVE
La Jolla, CA 92037
(217) 419-0271
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801288550
101 THE CITY DR S
Orange, CA 92868
(714) 456-8888
✔ Accepts Medicare88 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477889103
2259 E COLE AVE
Fresno, CA 93720
(619) 253-1833
324 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760721765
2813 KIMBERLIE CT
Anchorage, AK 99508
(619) 757-8772
✔ Accepts Medicare2,452 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194134114
55 FRUIT ST
Boston, MA 02114
(617) 724-4910
✔ PECOS✔ Accepts Medicare2,580 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern California Gastroenterology Anesthesia Specia's NPI number?

The NPI number for Southern California Gastroenterology Anesthesia Specia is 1073997359. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Southern California Gastroenterology Anesthesia Specialists.

Where is Southern California Gastroenterology Anesthesia Specia located?

Southern California Gastroenterology Anesthesia Specia is located at 286 Euclid Ave Suite #109, San Diego, CA 92114. The listed phone number is (619) 266-1653.

What is Southern California Gastroenterology Anesthesia Specia's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Southern California Gastroenterology Anesthesia Specia enrolled in Medicare?

Yes. Southern California Gastroenterology Anesthesia Specia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Gastroenterology Anesthesia Specia?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Southern California Gastroenterology Anesthesia Specia. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern California Gastroenterology Anesthesia Specia was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.