Gustavo Leor
Nurse Anesthetist, Certified Registered in Pasadena, CA. Individual provider (NPI-1).
NPI number1316628563
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1316628563
- Entity type
- Individual (NPI-1)
- Name
- Gustavo Leor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2023
- Certification date
- Oct 14, 2024
- Last updated
- Oct 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1811497 | AZ | Yes |
| 163W00000X | Registered Nurse | 95105960 | CA | |
| 207L00000X | Anesthesiology | 95002220 | CA |
Practice location
300 E Bellevue Dr Apt 125Pasadena, CA 91101-3105
Phone 805-284-2068
Mailing address
321 E Valerio St Apt CSanta Barbara, CA 93101-1195
Phone 805-284-2068
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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