DR. DOROTHY WANJERU MBONDO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053026419

DR. DOROTHY WANJERU MBONDO (CRNA) is a healthcare provider. based in Sacramento, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 95001960 (CA). The NPI Number for DR. DOROTHY WANJERU MBONDO (CRNA) is 1053026419

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOROTHY WANJERU MBONDO (CRNA)
NPI
1053026419
Phone
(502) 592-9580
Address
2537 RIVER PLAZA DR APT 67
Enumeration Date
20 January 2023
Last Update Date
20 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2099432000
Graduation Year
2022 (4 years ago)
PAC ID
9436515970
Group Practice PAC ID
4082754056
Professional Enrollment ID
I20230525001403
Address ID
CA952046019ST1800XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for DR. DOROTHY WANJERU MBONDO (CRNA)

  • 2537 RIVER PLAZA DR APT 67

    SACRAMENTO, CA 958333264

    Phone: (502) 592-9580

    Type: Mailing

  • 1800 N CALIFORNIA ST

    STOCKTON, CA 952046019

    Phone: (209) 662-4749

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230525001403ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3635$0
00811Anesthesia for other procedure on large bowel using an endoscope1818$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 95833)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082754056View full group profile
NameSpecialtyState
-CA
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)ID
Anesthesiology, Critical Care (Intensivists)MI
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What NPI should I save for DR. DOROTHY WANJERU MBONDO (CRNA)?
Save NPI 1053026419 if you need a stable reference for DR. DOROTHY WANJERU MBONDO (CRNA).
Is DR. DOROTHY WANJERU MBONDO (CRNA) currently active in the NPI registry?
CMS-published data lists DR. DOROTHY WANJERU MBONDO (CRNA) as an active registrant.
What kind of provider is DR. DOROTHY WANJERU MBONDO (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for DR. DOROTHY WANJERU MBONDO (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for DR. DOROTHY WANJERU MBONDO (CRNA)?
We surface Sacramento, California for DR. DOROTHY WANJERU MBONDO (CRNA) based on available NPPES addresses.
How can I contact DR. DOROTHY WANJERU MBONDO (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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