Brad Mitsdarffer, CRNA
NPI 1790148328 · Certified Registered Nurse Anesthetist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brad Mitsdarffer, CRNA is a Certified Registered Nurse Anesthetist provider in Los Angeles, CA (NPI 1790148328).
Provider details
- NPI number
- 1790148328
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 114912-23 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 5 Alumni DrExeter, NH 03833-2160Phone: (603) 778-7311
Registry dates
- Enumerated
- 2016-03-31
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Brad Mitsdarffer's NPI number?
- Brad Mitsdarffer's National Provider Identifier (NPI) is 1790148328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brad Mitsdarffer's specialty?
- Brad Mitsdarffer is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brad Mitsdarffer located?
- Brad Mitsdarffer's practice location on file with NPPES is 1401 S Grand Ave, Los Angeles, CA 90015-3010.
- What is Brad Mitsdarffer's phone number?
- The practice phone number listed in the NPPES registry for Brad Mitsdarffer is (213) 748-2411.
- Does Brad Mitsdarffer accept Medicare?
- Brad Mitsdarffer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brad Mitsdarffer's NPI active?
- Yes — Brad Mitsdarffer's NPI (1790148328) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.