NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1497939813 CRNA
Verify on CMS → David Ayala, CRNA
Student in an Organized Health Care Education/Training Program in Brawley, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 351,014 in Student in an Organized Health Care Education/Training Program, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
MIPS score
66.1/100
▼ 17 pts below national avg 83.5 · Mid-tier
What the federal data shows
David Ayala, CRNA reported a CMS MIPS final score of 66.1/100 - below the 83.5 national average.
- 66.1/100
- MIPS score · -17 vs avg
- ≥7th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about David Ayala, CRNA
Federal records show an active NPI with a CMS quality score on file — objective federal reporting, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1497939813), first enumerated 12/20/2007.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 66.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
California statewide board action statistics are published annually — these figures describe aggregate state activity, not David Ayala, CRNA's individual license status. Verify directly with the state medical board.
Source: MBC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1497939813 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · BOOK-MID · PHOTO-FINISH
- NPI-10 1497939813
- ENUM-MID 2007
- TAX-MEGA 351K Student in
- MIPS-LOW 66.1/100
- BOOK-MID 49,599 in California
- PHOTO-FINISH John Marett · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ayala · this pro…
Ayala · this provider
66.1 MIPS pts
- John Marett · hi…
John Marett
66.1 MIPS pts
- Ghadier Al Saoud…
Ghadier Al Saoudi
66.1 MIPS pts
- John Mikhail · n…
John Mikhail
66.1 MIPS pts
- Ali Nadhim · near
Ali Nadhim
66.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
David Ayala, CRNA's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
66 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
What does the federal data show about David Ayala, CRNA?
Below national averagePrimary specialty
Student in an Organized Health Care Education/Training Program
MIPS final score
66.1/100 17.4 pts vs avg
Specialty distribution in California
How Student in an Organized Health Care Education/Training Program compares to other specialties among California providers
Medicare quality performance, MIPS
David Ayala, CRNA's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 66.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1497939813 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | CRNA |
| Gender | Male |
| NPI Issued | 12/20/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
66.146
Final Score
Measured-score avg: 83.5
50.3738
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where David Ayala, CRNA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Comfort Anesthesia Associates Inc
Hanford, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to David Ayala, CRNA. To verify David Ayala, CRNA's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
More Student in an Organized Health Care Education/Training Program in CA →
All providers in California →
Compare specialties →
Student in an Organized Health Care Education/Training Program Overview
How David Ayala, CRNA fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
351,014
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
488
Avg Claims per Provider
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Ayala, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (66.1 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Ayala.
One of 49,599 Student in an Organized Health Care Education/Training Program providers enrolled in California, 5 are shown here.
Frequently Asked Questions
What is David Ayala, CRNA's specialty? ▼
David Ayala, CRNA specializes in Student in an Organized Health Care Education/Training Program and practices in Brawley, California. Credentials: CRNA.
What is David Ayala, CRNA's Medicare quality score? ▼
David Ayala, CRNA has a CMS MIPS Final Score of 66.1/100 (Quality: 50.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is David Ayala, CRNA located? ▼
David Ayala, CRNA is located at 207 W. LEGION ROAD, Brawley, CA, 92227. Phone: (760) 351-3288.
What is David Ayala, CRNA's NPI number? ▼
David Ayala, CRNA's National Provider Identifier (NPI) is 1497939813, issued on 12/20/2007.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 351,014 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 488 Medicare Part D claims per year.
Does David Ayala, CRNA accept Medicare? ▼
David Ayala, CRNA appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify David Ayala, CRNA's credentials? ▼
David Ayala, CRNA's NPI is 1497939813 with credentials CRNA. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.