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

Mario Barandiaran

Individual provider Registered Nurse · NPI 1720695455

Mario Barandiaran is a Certified Registered Nurse Anesthetist (CRNA) in Loma Linda, California. Qualified in 2020, 6 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
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

11234 Anderson St Rm A504
Loma Linda, CA 92354-2804
Phone: (909) 558-7811
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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 95001503 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 723230 (CA)

Record details

NPI number1720695455
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 27, 2020
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing address11234 Anderson St Rm A504, Loma Linda, CA 92354-2804

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 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

Other providers in Loma Linda