Kevin Ross Gustafson, CRBA
Kevin Ross Gustafson, CRBA is a Certified Registered Nurse Anesthetist (CRNA) in Cypress, California. Qualified in 2015, 11 years ago. Practices with Raelle Anesthesia Inc, an 11-clinician group. Licensed in California.
- Years since qualifying
- 11
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
6358 Sombrero AveCypress, CA 90630-5326
Phone: (562) 225-0025
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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 95000397 (CA) |
|---|
Record details
| NPI number | 1710360938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRBA |
| Sole proprietor | No |
| NPI enumerated | July 7, 2015 |
| Last updated in NPPES | January 17, 2016 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Raelle Anesthesia Inc — 11 clinicians |
| Accepts Medicare assignment | Not indicated |