KLS ANESTHESIA NURSING APC
NPI 1710755210
Nurse Anesthetist, Certified Registered in San Diego, CA

Active since December 13, 2023
12264 EL CAMINO REAL STE 55, SAN DIEGO, CA 92130(858) 755-3937 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kls Anesthesia Nursing Apc NPPES

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

KLS ANESTHESIA NURSING APC (NPI 1710755210) is a healthcare organization registered as a nurse anesthetist, certified registered in San Diego, California and active in the NPI registry since December 2023. The organization lists Kimberly Liss, Owner, as its authorized official.

NPPES Registry Identity

NPI1710755210
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameKLS ANESTHESIA NURSING APC
Location Address12264 EL CAMINO REAL STE 55San Diego, CA 92130-3059
Mailing AddressPo Box 34120Reno, NV 89533-4120 · (775) 747-5050 · Fax (775) 747-5005
Organization SubpartNo
Authorized OfficialKimberly LissOwner · (410) 746-3413
Enumeration DateDecember 13, 2023
Last NPPES UpdateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1710755210 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.
12264 EL CAMINO REAL STE 55, San Diego, CA 92130

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kls Anesthesia Nursing Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kls Anesthesia Nursing Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1457491938
34800 BOB WILSON DR
San Diego, CA 92134
(619) 750-5884
✔ Accepts Medicare16 mi

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 Kls Anesthesia Nursing Apc's NPI number?

The NPI number for Kls Anesthesia Nursing Apc is 1710755210. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Kls Anesthesia Nursing Apc located?

Kls Anesthesia Nursing Apc is located at 12264 El Camino Real Ste 55, San Diego, CA 92130. The listed phone number is (858) 755-3937.

What is Kls Anesthesia Nursing Apc's specialty?

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

Is Kls Anesthesia Nursing Apc enrolled in Medicare?

Yes. Kls Anesthesia Nursing Apc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kls Anesthesia Nursing Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Kls Anesthesia Nursing Apc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kls Anesthesia Nursing Apc was last updated on December 14, 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.