Doctor profile · Federal record
Dr. Kenneth Lake, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Fontana, CA
- NPI 1003964024
- Accepts Medicare
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9961 Sierra Ave
Fontana, CA 923356720
(909) 427-3910
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- September 15, 2008
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- California #NA3286
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003964024. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
134
Distinct HCPCS
7
Medicare allowed
$19,734
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 35 | 35 | $140 | |
00142 |
Anesthesia for lens surgery | 29 | 28 | $118 | |
01402 |
Anesthesia for procedure for total knee joint replacement | 18 | 17 | $337 | |
64447 |
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 17 | 15 | $63 | |
00812 |
Anesthesia for exam of colon using an endoscope | 13 | 13 | $114 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $134 | |
01810 |
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 11 | 11 | $120 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 34. This provider delivers 3.9× the peer median.Frequently asked questions
What is Dr. Kenneth Lake's medical specialty?
Dr. Kenneth Lake practices Certified Registered Nurse Anesthetist in Fontana, CA.
Where does Dr. Kenneth Lake practice?
Dr. Kenneth Lake practices at 9961 Sierra Ave, Fontana, CA 923356720. Office phone: 9094273910.
What is Dr. Kenneth Lake's NPI?
Dr. Kenneth Lake's National Provider Identifier (NPI) is 1003964024, issued by NPPES.
Does Dr. Kenneth Lake accept Medicare assignment?
Yes. Dr. Kenneth Lake accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Lake commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for lens surgery (HCPCS 00142); Anesthesia for procedure for total knee joint replacement (HCPCS 01402). Source: CMS Medicare Physician & Other Practitioners file.