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

Individual provider Certified Registered Nurse Anesthetist · NPI 1699900456

Mr. Derrick Rose, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Loma Linda, California. Qualified in 2008, 18 years ago. Practices with Sda Services of Ca, a 68-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2009
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

11234 Anderson St 2532
Loma Linda, CA 92354-2804
Phone: (909) 558-1000
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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 3787 (CA)

Record details

NPI number1699900456
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 22, 2009
Last updated in NPPESMay 22, 2009

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Sda Services Of Ca — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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