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

Individual provider Certified Registered Nurse Anesthetist · NPI 1376744268

Kimberly Wetherholt, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Harbor City, California. Qualified in 1996, 30 years ago. Practices with Om P. Chaurasia, MD, Inc, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2007
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

25825 Vermont Ave
Harbor City, CA 90710-3518
Phone: (310) 325-5111
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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 NA2413 (CA)

Record details

NPI number1376744268
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESNovember 29, 2021
Mailing address25825 Vermont Ave, Harbor City, CA 90710-3518

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Om P. Chaurasia, Md, Inc. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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