CLIFF FONTELERA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114075033

CLIFF FONTELERA (CRNA) is a healthcare provider. based in Orange, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NA3067 (CA). The NPI Number for CLIFF FONTELERA (CRNA) is 1114075033

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
CLIFF FONTELERA (CRNA)
NPI
1114075033
Phone
(714) 633-1338
Address
1310 W Stewart Dr Ste 310
Enumeration Date
8 January 2007
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607795599
Graduation Year
2003 (23 years ago)
PAC ID
7416991344
Group Practice PAC ID
3678720604
Professional Enrollment ID
I20050613000462
Address ID
CA922608700PA44139AVEX302

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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

Provider Addresses for CLIFF FONTELERA (CRNA)

  • 1310 W Stewart Dr Ste 310

    Orange, CA 928683838

    Phone: (714) 633-1338

    Type: Location

  • 207 S Santa Anita St Ste G16

    San Gabriel, CA 917761147

    Phone: (626) 300-5300

    Type: Location

  • 44139 Monterey Ave Ste B

    Palm Desert, CA 922608700

    Phone: (760) 773-4411

    Type: Location

  • 700 W El Norte Pkwy

    Escondido, CA 920263923

    Phone: (760) 738-7830

    Type: Location

  • 44815 Fig Ave Ste 100

    Lancaster, CA 935343144

    Phone: (844) 408-6589

    Type: Location

  • Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States

    RIVERSIDE, CA 925053043

    Phone: (909) 353-2000

    Type: Mailing

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: 2005-06-13

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
I20050613000462ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92868)

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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: 3678720604View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
-CA
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)FL
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How is CLIFF FONTELERA (CRNA) identified in CMS data?
CMS-hosted NPPES data lists CLIFF FONTELERA (CRNA) with NPI 1114075033.
Is CLIFF FONTELERA (CRNA) still practicing?
CLIFF FONTELERA (CRNA) is currently listed as active in the public NPI registry.
What is CLIFF FONTELERA (CRNA)'s specialty?
The listing groups CLIFF FONTELERA (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for CLIFF FONTELERA (CRNA)?
CLIFF FONTELERA (CRNA)'s geographic hint is Orange, California in our summary view.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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