MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1750800652

MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) is a healthcare provider. based in Walnut creek, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 826602 (CA). The NPI Number for MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) is 1750800652

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN SCOTT SAMPANA DE LEON (CRNA)
NPI
1750800652
Phone
(925) 295-5299
Address
1425 S MAIN ST
Enumeration Date
12 September 2017
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8182652275
Graduation Year
2017 (9 years ago)
PAC ID
7113285438
Group Practice PAC ID
1850780206
Professional Enrollment ID
I20171214001488
Address ID
CA912054437GL801XXDRXX503

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
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

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

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Provider Addresses for MR. KEVIN SCOTT SAMPANA DE LEON (CRNA)

  • 45B, 1425, South Main Street, Walnut Creek, Contra Costa County, California, 94596, United States

    WALNUT CREEK, CA 945965318

    Phone: (925) 295-5299

    Type: Location

  • 6041 CADILLAC AVE

    LOS ANGELES, CA 900341702

    Phone: (833) 574-2273

    Type: Location

  • 3758, Bresee Avenue, Baldwin Park, Los Angeles County, California, 91706, United States

    BALDWIN PARK, CA 917064118

    Phone: (626) 646-8928

    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: 2017-12-14

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
I20171214001488ICertified 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 94596)

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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: 1850780206View full group profile
NameSpecialtyState
Anesthesiology, Family PracticeCA
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)FL
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

How do payers reference MR. KEVIN SCOTT SAMPANA DE LEON (CRNA)?
For MR. KEVIN SCOTT SAMPANA DE LEON (CRNA), use NPI 1750800652 as the unique 10-digit identifier.
Would MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) appear as active to a payer?
You can treat MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. KEVIN SCOTT SAMPANA DE LEON (CRNA)?
At a glance, MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) located near Walnut Creek?
MR. KEVIN SCOTT SAMPANA DE LEON (CRNA) currently maps to Walnut Creek, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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