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

Niko Sebastian Baldemor Africano

Individual provider Critical Care Medicine Registered Nurse · NPI 1609557982

Niko Sebastian Baldemor Africano is a Certified Registered Nurse Anesthetist (CRNA) in Los Angeles, California. Qualified in 2023, 3 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

13651 Willard St
Los Angeles, CA 91402
Phone: (833) 574-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 S Los Robles Ave # 501, Pasadena, CA 91101-2453 — (833) 574-2273

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95002185 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 95065465 (CA)

Record details

NPI number1609557982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2023
Last updated in NPPESDecember 27, 2023
Certification dateSeptember 8, 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 Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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