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

Mario Khong, DNP

Individual provider Registered Nurse · NPI 1629759857

Mario Khong, DNP is a Certified Registered Nurse Anesthetist (CRNA) in Redlands, California. Qualified in 2023, 3 years ago. Practices with Sda Services of Ca, a 68-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1900 Clementine St
Redlands, CA 92374-1615
Phone: (714) 589-4507
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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 95002186 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95076500 (CA)

Record details

NPI number1629759857
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedJuly 31, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 10, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sda Services Of Ca — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Redlands