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 April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 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 UpdateApril 9, 2025

NPPES CertifiedApril 9, 2025

✔ 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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