ELIZABETH BLU BAMGBOSE CRNA
NPI 1326133109
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since October 04, 2006Accepts Medicare Assignment
1500 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-7400 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2020, Dec 24, 2015 (2 updates tracked since 2015).

About Elizabeth Blu Bamgbose Crna NPPES

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

ELIZABETH BLU BAMGBOSE CRNA (NPI 1326133109) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (NA3613) and active in the NPI registry since October 2006. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1326133109
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameELIZABETH BLU BAMGBOSECredential: CRNA
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1326133109 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
License✔ Licensed in CA · NA3613
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.
1500 SAN PABLO ST, Los Angeles, CA 90033

Other Names 1

Former Name (1)Elizabeth B. Glaser Crna

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

Elizabeth Blu Bamgbose 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 ID6709978760
PECOS Enrollment IDI20100505000397

Medicare Billing Reassignments

3

Medicare enrollment records show Elizabeth Bamgbose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Anesthesiology
TLC SURGICAL CENTER 240 S LA CIENEGA BLVD, SUITE 210
Beverly Hills, CA 90211
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2801 WILSHIRE BLVD STE B
Santa Monica, CA 90403
  • Reassigned Medicare billing, California enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033

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 Elizabeth Bamgbose's NPI number?

The NPI number for Elizabeth Bamgbose is 1326133109. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Elizabeth B. Glaser Crna.

Where is Elizabeth Bamgbose located?

Elizabeth Bamgbose practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-7400.

What is Elizabeth Bamgbose's specialty?

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

Is Elizabeth Bamgbose enrolled in Medicare?

Yes. Elizabeth Bamgbose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Bamgbose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Bamgbose reassigns Medicare benefits to 3 organizations: Usc Care Medical Group, Inc (Los Angeles, CA), Axiom Anesthesia A Professional Nursing Corporation (Beverly Hills, CA) and West Ridge Anesthesia PC (Santa Monica, 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 Elizabeth Bamgbose'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 Elizabeth Bamgbose was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.