Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA DORA BLANCO CRNA
NPI 1144901349
Nurse Anesthetist, Certified Registered in Loma Linda, CA

Q: What is Amanda Blanco's NPI number?

The NPI number for Amanda Blanco is 1144901349. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Q: What is Amanda Blanco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Blanco was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since July 31, 2023Accepts Medicare Assignment

11234 ANDERSON ST, LOMA LINDA, CA 92350(626) 905-1569 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Apr 9, 2025 (2 updates tracked since 2025).

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About Amanda Dora Blanco Crna NPPES

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

AMANDA DORA BLANCO CRNA (NPI 1144901349) is an individual nurse anesthetist, certified registered in Loma Linda, California, licensed in California (95002484) and active in the NPI registry since July 2023. She maintains a secondary practice location in Irvine and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144901349

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameAMANDA DORA BLANCOCredential: CRNA

Location Address11234 ANDERSON STLoma Linda, CA 92350-1716

Mailing Address11234 Anderson StLoma Linda, CA 92350-1716

Phone(626) 905-1569

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 31, 2023

Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration

NPPES CertifiedOctober 9, 2026

✔ NPI 1144901349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · 95002484

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95065011 (CA)

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95065011 (CA)

11234 ANDERSON ST, Loma Linda, CA 92350

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Secondary Practice Location 1

Location 11000 FivepointIrvine, CA 92618-2377 · Phone (800) 826-4673

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Dora Blanco Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496289589

PECOS Enrollment IDI20241112002851

Medicare Billing Reassignment

Medicare enrollment records show Amanda Blanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

Same address

Pediatrics

11234 ANDERSON ST
Loma Linda, CA 92350

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1477503407 (909) 558-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THUCAN TIMOTHY BUI DO

Emergency Medicine