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Annette Diane Orduno, CNA

Certified Registered Nurse Anesthetist (Crna) · Murrieta

NPI 1902204423

Medicare standing
1 flag on the record
Listed below.
Plans that list them
3
1 carrier
Offices
2

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

2 locations · Sound Physicians Anesthesiology of California PC · 35 clinicians in this group

Looking this up.

Hospitals listed: Loma Linda University Medical Center-Murrieta. That is not proof they admit you there this week.

Plans that list them

3 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Annette Diane Orduno’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

State licence records

1 licence

  • Illinois 209012301Advanced Practice Registered Nurse · since 2014 · expires 2028-05-31
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Loma Linda University Medical Center-MurrietaMurrieta, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Loma Linda University Health, which runs 4 hospitalsPatients rate it 2 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.073, Oct 2024 – Sep 2025
See every measure and the patient survey for Loma Linda University Medical Center-Murrieta

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 4 the same, 3 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Loma Linda University Medical Center-Murrieta
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.073BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.2 (0.17 to 2.23) · 596 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.94 (0.58 to 1.3)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths205.57 (150.27 to 260.87) · 48 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 26 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.8 · 81 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.7 · 164 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.3 · 230 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.9 · 230 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.3 · 120 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 2,477 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.17 (0 to 0.38) · 4,005 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.24 (0.03 to 0.44) · 4,174 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.85 (1.54 to 6.15) · 920 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.94 (0.29 to 3.58) · 243 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.64 (1.1 to 4.18) · 895 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.65 (2.61 to 16.69) · 239 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.05 (2.12 to 9.97) · 242 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.18 to 3.17) · 125 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 1.05) · 3,223 casesNo differentJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.352No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.5No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14 · 446 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 486 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-11.7 · 162 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits58.5 · 259 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-4.1 · 240 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.8 · 459 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits14.5 · 57 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.1 · 181 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.7 (10 to 18.5) · 30 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 190 casesNo differentJan 2024 – Dec 2024

What patients said (1,156 patients answered, 17% of those asked)

Patient survey stars by topic at Loma Linda University Medical Center-Murrieta
Cleanliness3
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information2
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Loma Linda University Medical Center-Murrieta
Room was "always" clean73%
Nurses "always" communicated well70%
Doctors "always" communicated well70%
Staff "always" explained56%
Yes, staff "did" give patients this information80%
Yes, staff "did" give patients information about help after discharge77%
Doctors "always" explained things so they could understand65%
Doctors "always" listened carefully68%
Doctors "always" treated them with courtesy and respect76%
Patients who gave a rating of "9" or "10" (high)63%
Staff "always" explained new medications73%
Nurses "always" explained things so they could understand67%
Nurses "always" listened carefully65%
Nurses "always" treated them with courtesy and respect79%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects39%
Yes, staff "did" give patients information about possible symptoms84%

Original Medicare doctor bills

$32,634

Medicare paid this office $32,634 for 202 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Anesthesia for x-ray or radiation therapy56$7,760$134
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope31$3,428$101
Anesthesia for other procedure on lower leg, ankle, and foot bones24$3,408$142
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance13$1,032$74
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)11$524$48

Who their Medicare patients are

202 Original Medicare patients in 2024. Average age 74 · Under 65 7% · 85 and older 15% · Women 55% · Also on Medicaid 23% · Health risk score 1.98. Above the middle of the specialty; the typical certified registered nurse anesthetist (crna) clinician is at 1.45.

Conditions among them: High blood pressure 75% · Atrial fibrillation 49% · Coronary heart disease 46% · Diabetes 44% · Heart failure 42% · Chronic kidney disease 33% · Depression 30% · COPD 27% · Cancer 16% · Stroke 16% · Dementia 10%.

The office billed $310,611, Medicare allowed $41,953 and paid $32,634; for 249 services of 47 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024202249741.98$310,611$32,634
2023158175742.22$242,202$26,852
2022120126742.37$231,330$19,536
20217381703.05$181,494$12,310
2020184192721.95$531,574$26,350
2019246252731.78$851,854$42,507
2018283290741.70$629,166$33,789
2017272276731.66$460,077$27,151
2016259267731.59$420,086$27,196
2015214221721.95$158,846$30,875

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Anesthesia for x-ray or radiation therapy25$3,586$138
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope23$2,991$125
Anesthesia for other procedure on lower leg, ankle, and foot bones13$2,061$159

2022: 2 services

Original Medicare services billed in 2022
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope33$3,165$96
Anesthesia for x-ray or radiation therapy12$1,870$156

2021: 2 services

Original Medicare services billed in 2021
Anesthesia for x-ray or radiation therapy13$1,795$138
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope14$1,535$110

2020: 2 services

Original Medicare services billed in 2020
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope23$1,831$80
Anesthesia for lens surgery20$1,714$86

2019: 4 services

Original Medicare services billed in 2019
Anesthesia for lens surgery40$3,804$95
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope19$2,123$112
Anesthesia for other procedure on urinary system through urethra16$1,698$106
Anesthesia for other procedure on large bowel using an endoscope14$1,572$105

2018: 5 services

Original Medicare services billed in 2018
Anesthesia for lens surgery63$6,013$94
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope28$2,338$83
Anesthesia for procedure for total knee joint replacement11$2,279$207
Anesthesia for other procedure on large bowel using an endoscope17$1,760$98
Anesthesia for other procedure on urinary system through urethra13$917$71

2017: 4 services

Original Medicare services billed in 2017
Anesthesia for lens surgery72$5,803$81
Anesthesia for procedure on lower intestine using an endoscope23$1,596$69
Anesthesia for procedure on gastrointestinal tract using an endoscope19$1,203$63
Anesthesia for other closed procedure on chest11$998$91

2016: 5 services

Original Medicare services billed in 2016
Anesthesia for lens surgery58$5,168$89
Anesthesia for procedure for total knee joint replacement23$3,405$148
Anesthesia for procedure on gastrointestinal tract using an endoscope33$2,132$63
Anesthesia for procedure on lower intestine using an endoscope20$1,456$73
Anesthesia for other procedure on urinary system through urethra11$625$57

2015: 4 services

Original Medicare services billed in 2015
Anesthesia for procedure on gastrointestinal tract using an endoscope42$4,637$105
Anesthesia for procedure on lower intestine using an endoscope13$1,780$137
Anesthesia for other procedure on urinary system through urethra20$1,724$86
Anesthesia for procedure for total knee joint replacement11$1,705$155

Money from drug and device companies

$67 in 2025

Industry payments by year
202513None$67
202311None$16

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Merck Sharp & DohmeBridion$67
3 payments
  • Meals for Bridion · 2025-07-09 · $20
  • Education for Bridion · 2025-01-24 · $26
  • Meals for Bridion · 2025-01-23 · $22
See all 3 published payments
Every published payment
Merck Sharp & DohmeMeals · 2025-07-09Bridion$20
Merck Sharp & DohmeEducation · 2025-01-24Bridion$26
Merck Sharp & DohmeMeals · 2025-01-23Bridion$22
See earlier years (2023)

2023: $16

Payments by company in 2023
Pacira PharmaceuticalsExparel$16
1 payment
  • Meals for Exparel · 2023-03-11 · $16

Professional record

NPI
1902204423
Licence
CA 95001379, IL 209012301Illinois 209012301: Active
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 367500000X (367500000X)
Mailing address
4002 Vista Way, Oceanside, CA, 92056
NPI first listed
2014-12-16
NPI last updated
2023-02-03
NPI record certified
2023-02-03

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 4445 Magnolia Ave, Riverside, CA, 92501 · 200 W Arbor Dr, San Diego, CA, 92103 · 300 Pasteur Dr, Stanford, CA, 94305

This office lists an electronic records connection.