IVAN C VALLADOLID CRNA
NPI 1285786632
Nurse Anesthetist, Certified Registered in Riverside, CA
About Ivan C Valladolid Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN C VALLADOLID CRNA (NPI 1285786632) is an individual nurse anesthetist, certified registered in Riverside, California, licensed in California (NA1504) and active in the NPI registry since January 2007.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivan C Valladolid Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ivan Valladolid reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- 66 clinicians in this Medicare group
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Ivan Valladolid's NPI number?
The NPI number for Ivan Valladolid is 1285786632. It was assigned to this individual provider in the NPPES registry on January 17, 2007.
Where is Ivan Valladolid located?
Ivan Valladolid practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (909) 353-2000.
What is Ivan Valladolid's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ivan Valladolid enrolled in Medicare?
Yes. Ivan Valladolid is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ivan Valladolid's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Valladolid reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Riverside, CA), Lgibson Anesthesia Inc (Rancho Cucamonga, CA) and Scq Anesthesia A Professional Nursing Corporation (Tarzana, CA). Each 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 Ivan Valladolid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ivan Valladolid was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ivan C Valladolid, CRNA · NPI 1285786632
Nurse Anesthetist, Certified Registered physician in Riverside, California. Individual provider, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1285786632 (Entity type: Individual)
- **Enumerated:** January 17, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** NA1504 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 MAGNOLIA AVE, Riverside, CA 92505-3043
- **Phone:** (909) 353-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA); Lgibson Anesthesia Inc (NPI 1417473323, Rancho Cucamonga, CA); Scq Anesthesia A Professional Nursing Corporation (NPI 1689381105, Tarzana, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285786632) · Data from the CMS NPPES public registry.