MR. BRETT PEYTON CUSTODIA CRNA
NPI 1609041714
Nurse Anesthetist, Certified Registered in Panorama City, CA

Active since April 29, 2008
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-2448 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Brett Peyton Custodia Crna NPPES

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

MR. BRETT PEYTON CUSTODIA CRNA (NPI 1609041714) is an individual nurse anesthetist, certified registered in Panorama City, California, licensed in California (3542) and active in the NPI registry since April 2008. He is affiliated with Saint Anne's Hospital and is a graduate of Other (2007).

NPPES Registry Identity

NPI1609041714
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BRETT PEYTON CUSTODIACredential: CRNA
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address14262 Tyler St, #10Sylmar, CA 91342-1584 · (818) 741-9129
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 29, 2008
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1609041714 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 · 3542
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.

13652 CANTARA ST, Panorama City, CA 91402

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Brett Peyton Custodia Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315009149
PECOS Enrollment IDI20230310002365

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

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 Practitioner (Family)
13652 CANTARA ST, POPULATION CARE SOUTH 1
PANORAMA CITY, CA 91402
Genetic Counselor, MS
13652 CANTARA ST, KAISER PERMANENTE
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Obstetrics & Gynecology
13652 CANTARA ST, NORTH 3
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST, ROOM #214
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402

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 Brett Custodia's NPI number?

The NPI number for Brett Custodia is 1609041714. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Brett Custodia located?

Brett Custodia practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2448.

What is Brett Custodia's specialty?

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

Is Brett Custodia enrolled in Medicare?

Yes. Brett Custodia is registered in the Medicare PECOS enrollment system.

Is Brett Custodia affiliated with any hospitals?

According to CMS data, Brett Custodia is affiliated with Saint Anne's Hospital and Morton Hospital.

When was this NPI record last updated?

The NPPES record for Brett Custodia was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.