JOHN WILLIAMS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154870301

JOHN WILLIAMS (CRNA) is a healthcare provider. based in Ventura, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 781152 (CA). The NPI Number for JOHN WILLIAMS (CRNA) is 1154870301

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JOHN WILLIAMS (CRNA)
NPI
1154870301
Phone
(805) 320-1315
Address
471 COLBY CIR
Enumeration Date
29 September 2016
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6615794700
Graduation Year
2016 (10 years ago)
PAC ID
9931488749
Group Practice PAC ID
9436520814
Professional Enrollment ID
I20161118001723
Address ID
CA935345207LA43944WXXX401

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

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

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Provider Addresses for JOHN WILLIAMS (CRNA)

  • Colby Circle, Ventura, Ventura County, California, 93003, United States

    VENTURA, CA 930033856

    Phone: (805) 320-1315

    Type: Mailing

  • Mount Vernon Avenue, Bakersfield, Kern County, California, 93307, United States

    BAKERSFIELD, CA 933064018

    Phone: (661) 326-2000

    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: 2016-11-18

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
I20161118001723ICertified 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 93003)

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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: 9436520814View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)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
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)DC

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN WILLIAMS (CRNA)?
JOHN WILLIAMS (CRNA) — NPI 1154870301 — is the standard way to identify this listing.
Does the file indicate JOHN WILLIAMS (CRNA) is practicing under active NPI?
Directory data currently reports JOHN WILLIAMS (CRNA) as active.
What taxonomy line describes JOHN WILLIAMS (CRNA)?
For research purposes, treat JOHN WILLIAMS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN WILLIAMS (CRNA)?
JOHN WILLIAMS (CRNA)'s geographic hint is Ventura, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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