ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790844405

ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA) is a healthcare provider. based in Panorama city, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NA3316 (CA). The NPI Number for ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA) is 1790844405

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA)
NPI
1790844405
Phone
(818) 375-2000
Address
13652 CANTARA ST
Enumeration Date
8 December 2006
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8183752000
Graduation Year
2005 (21 years ago)
PAC ID
3678596855
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20060113000512
Address ID
CA914025423PA13652STXX300

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
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA)

  • 13652, Cantara Street, Panorama City, Los Angeles, Los Angeles County, California, 91402, United States

    PANORAMA CITY, CA 914025423

    Phone: (818) 375-2000

    Mailing address matches the actual address.

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: 2006-01-13

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
I20060113000512ICertified 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 91402)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How do payers reference ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA)?
For ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA), use NPI 1790844405 as the unique 10-digit identifier.
Is ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA) still an active registrant?
ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA)?
ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA)?
Travel planning: use Panorama City, California as the reference point for ANNE KIYOMI NISHINAGA RODRIGUEZ (CRNA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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