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

Mr. Brett Peyton Custodia, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1609041714

Mr. Brett Peyton Custodia, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Panorama City, California. Qualified in 2007, 19 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008
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

13652 Cantara St
Panorama City, CA 91402-5423
Phone: (818) 375-2448
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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 3542 (CA)

Record details

NPI number1609041714
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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