Healthcare Provider Details

I. General information

NPI: 1396658829
Provider Name (Legal Business Name): AMSURG COLTON ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 E BRIER DR STE 170
SAN BERNARDINO CA
92408-2885
US

IV. Provider business mailing address

1A BURTON HILLS BLVD
NASHVILLE TN
37215-6100
US

V. Phone/Fax

Practice location:
  • Phone: 909-370-2190
  • Fax: 909-370-2266
Mailing address:
  • Phone: 800-945-2301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JEFF SNODGRASS
Title or Position: PRESIDENT
Credential:
Phone: 615-263-5264