LGIBSON ANESTHESIA INC
NPI 1417473323
Nurse Anesthetist, Certified Registered in Rancho Cucamonga, CA

Active since August 22, 2017
9674 ARCHIBALD AVE STE 125, RANCHO CUCAMONGA, CA 91730(909) 296-8930(909) 296-8935 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lgibson Anesthesia Inc NPPES

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

LGIBSON ANESTHESIA INC (NPI 1417473323) is a healthcare organization registered as a nurse anesthetist, certified registered in Rancho Cucamonga, California and active in the NPI registry since August 2017. The organization lists Loretta Gibson, President, as its authorized official.

NPPES Registry Identity

NPI1417473323
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameLGIBSON ANESTHESIA INC
Location Address9674 ARCHIBALD AVE STE 125Rancho Cucamonga, CA 91730-7944
Mailing Address5 Holland Ste 101Irvine, CA 92618-2568
Fax(909) 296-8935
Organization SubpartNo
Authorized OfficialLoretta GibsonPresident · (949) 588-2190
Enumeration DateAugust 22, 2017
✔ NPI 1417473323 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.
9674 ARCHIBALD AVE STE 125, Rancho Cucamonga, CA 91730

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lgibson Anesthesia Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20170918001886Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

65

Medicare enrollment records show 65 clinicians reassign Medicare billing to Lgibson Anesthesia Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)61
Anesthesiology4

Nearest to this location (20)

See all 65
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962725119
10841 WHITE OAK AVE
Rancho Cucamonga, CA 91730
(909) 581-6400
2.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518399732
2295 S VINEYARD AVE
Ontario, CA 91761
(909) 427-5000
✔ Accepts Medicare3.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447764204
8641 MANDARIN AVE
Rancho Cucamonga, CA 91701
(909) 987-7196
4.6 mi
Anesthesiology
NPI 1437343399
12223 HIGHLAND AVE STE 106 UNIT 331
Rancho Cucamonga, CA 91739
(323) 423-4015
✔ PECOS✔ Accepts Medicare5.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629053525
14145 SOUTHWOOD DR
Fontana, CA 92337
(909) 268-5549
✔ Accepts Medicare6.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083091847
4936 SNOWBERRY DR
Fontana, CA 92336
(909) 899-7928
✔ Accepts Medicare9.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467001883
9961 SIERRA AVE
Fontana, CA 92335
(833) 574-2273
✔ Accepts Medicare9.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972106375
4040 OBSIDIAN RD
San Bernardino, CA 92407
(909) 327-8388
13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306572904
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1000
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679929525
400 N PEPPER AVE
Colton, CA 92324
(909) 573-6127
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770082455
400 N PEPPER AVE
Colton, CA 92324
(909) 580-2440
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841566080
400 N PEPPER AVE
Colton, CA 92324
(909) 580-3144
14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306576723
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1000
14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1780114728
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1000
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881999126
400 N PEPPER AVE ANESTHESIA DEPT. 2ND FLOOR
Colton, CA 92324
(909) 580-2440
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710431960
400 N PEPPER AVE
Colton, CA 92324
(909) 580-2440
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275087652
400 N PEPPER AVE
Colton, CA 92324
(909) 580-2440
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285786632
10800 MAGNOLIA AVE
Riverside, CA 92505
(909) 353-2000
14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306228945
400 N PEPPER AVE
Colton, CA 92324
(909) 580-2440
14 mi
Anesthesiology
NPI 1093806853
18575 GALE AVE SUITE 198
City Of Industry, CA 91748
(626) 965-3880
✔ PECOS✔ Accepts Medicare18 mi
See all 65 clinicians

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 Lgibson Anesthesia Inc's NPI number?

The NPI number for Lgibson Anesthesia Inc is 1417473323. It was assigned to this organization in the NPPES registry on August 22, 2017.

Where is Lgibson Anesthesia Inc located?

Lgibson Anesthesia Inc is located at 9674 Archibald Ave Ste 125, Rancho Cucamonga, CA 91730. The listed phone number is (909) 296-8930.

What is Lgibson Anesthesia Inc's specialty?

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

Is Lgibson Anesthesia Inc enrolled in Medicare?

Yes. Lgibson Anesthesia Inc is registered in the Medicare PECOS enrollment system.

When is Lgibson Anesthesia Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lgibson Anesthesia Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 2 Medicare specialties reassign their Medicare billing to Lgibson Anesthesia Inc. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (61) and Anesthesiology (4). Of these, 7 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 Lgibson Anesthesia Inc was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.