1. Home
  2. Directory
  3. California
  4. Baldwin Park
  5. Anesthesiology
  6. NPI Profile

RENATO V. ETRATA JR. MD
NPI 1487706842
Anesthesiology in Baldwin Park, CA

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706(626) 851-1011 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Renato V. Etrata Jr. Md NPPES

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

RENATO V. ETRATA JR. MD (NPI 1487706842) is an individual anesthesiology provider in Baldwin Park, California, licensed in California (A62771) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1995).

NPPES Registry Identity

NPI1487706842
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameRENATO V. ETRATA JR.Credential: MD
Location Address1011 BALDWIN PARK BLVDBaldwin Park, CA 91706-5806
Mailing Address1011 Baldwin Park BlvdBaldwin Park, CA 91706-5806 · (626) 851-1011
Phone(626) 851-1011
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1995
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 3, 2021
✔ NPI 1487706842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A62771
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706
Open in Google Maps ↗

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

Renato V. Etrata Jr. Md 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 ID9436348737
PECOS Enrollment IDI20110118000344
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Renato Etrata Jr. reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1770515280 (626) 851-1011

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.

BRETT ALLEN PROVENCE D.O.
Hospitalist
1011 BALDWIN PARK BLVD, 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
VERONICA CHIU TSANG RRT
Respiratory Therapist, Registered
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-7245
DANIEL CHU MD
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (833) 574-2273
JULIAN REED WOODS MD
Emergency Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
HLA H. KYI MD
Pediatrics
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
YU-CHIEN KUO MD
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
CHRISTINE YI-JING CHEN-HSU MD
Physical Medicine & Rehabilitation
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011
DAVID OREN DEWITT PA
Physician Assistant
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Los Angeles County (626) 851-1011

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 Renato Etrata Jr.'s NPI number?

The NPI number for Renato Etrata Jr. is 1487706842. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Renato Etrata Jr. located?

Renato Etrata Jr. practices at 1011 Baldwin Park Blvd, Baldwin Park, CA 91706. The listed phone number is (626) 851-1011.

What is Renato Etrata Jr.'s specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Renato Etrata Jr. enrolled in Medicare?

Yes. Renato Etrata Jr. 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 organization bills Medicare for Renato Etrata Jr.'s services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renato Etrata Jr. reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, CA). The 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 Renato Etrata Jr.'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 Renato Etrata Jr. was last updated on December 3, 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.