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

Matthew Wayne Woolverton

Individual provider Registered Nurse · NPI 1790250637

Matthew Wayne Woolverton is a Certified Registered Nurse Anesthetist (CRNA) in Colton, California. Qualified in 2018, 8 years ago. Practices with Raelle Anesthesia Inc, an 11-clinician group. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1819
Phone: (909) 580-2400
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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 95001087 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 790267 (CA)

Record details

NPI number1790250637
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing addressPo Box 34120, Reno, NV 89533-4120

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Raelle Anesthesia Inc — 11 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Colton