Gavin Mcmullen, CRNA
NPI 1720549504 · Certified Registered Nurse Anesthetist · San Bernardino, CA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gavin Mcmullen, CRNA is a Certified Registered Nurse Anesthetist provider in San Bernardino, CA (NPI 1720549504).
Provider details
- NPI number
- 1720549504
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 125600 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$23 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2019-03-26
Frequently asked questions
- What is Gavin Mcmullen's NPI number?
- Gavin Mcmullen's National Provider Identifier (NPI) is 1720549504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gavin Mcmullen's specialty?
- Gavin Mcmullen is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gavin Mcmullen located?
- Gavin Mcmullen's practice location on file with NPPES is 2101 N Waterman Ave, San Bernardino, CA 92404-4836.
- What is Gavin Mcmullen's phone number?
- The practice phone number listed in the NPPES registry for Gavin Mcmullen is (909) 883-8711.
- Does Gavin Mcmullen accept Medicare?
- Gavin Mcmullen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gavin Mcmullen's NPI active?
- Yes — Gavin Mcmullen's NPI (1720549504) is active in the NPPES registry as of the last update on 2019-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.