Se Ra Park
NPI 1558761395ActiveIndividual· Nurse Anesthetist, Certified Registered· Downey, CA
Nurse Anesthetist, Certified Registered with Southern California Permanente Medical Group, practicing in Downey, California. Medicare paid $1,204 for services to 11 patients in 2024. Lists Kaiser Foundation Hospital - Downey as a hospital affiliation.
Overview
| NPI | 1558761395 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 29, 2014 |
| Last updated in NPPES | May 26, 2023 |
| Certified by provider | Nov 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 95001909 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 11 across 7 procedure codes |
| Paid by Medicare | $1,204 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Hospital affiliation
- Kaiser Foundation Hospital - DowneyDowney, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 27 nurse anesthetists in Downey · All nurse anesthetists in California