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KEVIN ROSS GUSTAFSON CRBA
NPI 1710360938
Nurse Anesthetist, Certified Registered in Cypress, CA

Active since July 07, 2015
6358 SOMBRERO AVE, CYPRESS, CA 90630(562) 225-0025 Get Directions Write a Review

NPPES record last updated: January 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Ross Gustafson Crba NPPES

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

KEVIN ROSS GUSTAFSON CRBA (NPI 1710360938) is an individual nurse anesthetist, certified registered in Cypress, California, licensed in California (95000397) and active in the NPI registry since July 2015. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1710360938
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN ROSS GUSTAFSONCredential: CRBA
Location Address6358 SOMBRERO AVECypress, CA 90630-5326
Mailing Address6358 Sombrero AveCypress, CA 90630-5326 · (562) 225-0025
Phone(562) 225-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 7, 2015
Last NPPES UpdateJanuary 17, 2016
✔ NPI 1710360938 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 · 95000397
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.
6358 SOMBRERO AVE, Cypress, CA 90630
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Ross Gustafson Crba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800106915
PECOS Enrollment IDI20160315002007

Medicare Billing Reassignments

7

Medicare enrollment records show Kevin Gustafson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knd Development 59 LLC
2.8 mi
Hospitalist
200 HOSPITAL CIR
Westminster, CA 92683
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1013246180 (714) 893-4541
Regents Of The University Of
7.7 mi
Anesthesiology
101 THE CITY DR SOUTH
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
NPI 1487602546 (714) 456-8068
Tower Anesthesia Associates Inc
28 mi
Anesthesiology
9090 WILSHIRE BLVD STE 101
Beverly Hills, CA 90211
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1407370901 (310) 550-0400
Brand Surgery Center, LLC
29 mi
Ambulatory Surgical
1146 N BRAND BLVD
Glendale, CA 91202
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1437537107 (818) 426-7077
Raelle Anesthesia Inc
33 mi
Nurse Anesthetist, Certified Registered
10694 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1437499266 (951) 335-5264
MD Solutions Medical Corp
36 mi
Dermatology
15477 VENTURA BLVD., SUITE 100
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1902837735 (818) 906-6900
Advanced Anesthesia Specialists A Medical Corporation
45 mi
Anesthesiology
7230 MEDICAL CENTER DR, SUITE 500-B
West Hills, CA 91307
  • Reassigned Medicare billing, California enrollment
  • 99 clinicians in this Medicare group
NPI 1871733600 (818) 348-7246

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
442 services323 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
70 services69 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
39 services37 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
21 services21 patients

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 Kevin Gustafson's NPI number?

The NPI number for Kevin Gustafson is 1710360938. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Kevin Gustafson located?

Kevin Gustafson practices at 6358 Sombrero Ave, Cypress, CA 90630. The listed phone number is (562) 225-0025.

What is Kevin Gustafson's specialty?

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

Is Kevin Gustafson enrolled in Medicare?

Yes. Kevin Gustafson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gustafson reassigns Medicare benefits to 7 organizations: Knd Development 59 LLC (Westminster, CA), Regents Of The University Of (Orange, CA), Tower Anesthesia Associates Inc (Beverly Hills, CA), Brand Surgery Center, LLC (Glendale, CA), Raelle Anesthesia Inc (Riverside, CA) and 2 more organizations, listed in the Medicare section above. 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 Kevin Gustafson'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 Kevin Gustafson was last updated on January 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.