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

Individual provider Certified Registered Nurse Anesthetist · NPI 1427576644

Ethan Jeffrey Tate, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone: (323) 442-7400
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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 NA95000780 (CA)

Record details

NPI number1427576644
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESNovember 27, 2023
Certification dateOctober 7, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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