Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Dora Blanco, CRNA

Individual provider Registered Nurse · NPI 1144901349

Amanda Dora Blanco, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Loma Linda, California. Qualified in 2024, 2 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92350-1716
Phone: (626) 905-1569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002484 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95065011 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 95065011 (CA)

Record details

NPI number1144901349
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address11234 Anderson St, Loma Linda, CA 92350-1716

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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