Michael Nussbaum, MD | |
15525 Pomerado Rd, Poway, CA 92064-2435 | |
(858) 521-0031 | |
(858) 521-0912 |
Full Name | Michael Nussbaum |
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Gender | Male |
Speciality | Anesthesiology |
Location | 15525 Pomerado Rd, Poway, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932100856 | NPI | - | NPPES |
00G607270 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G60727 (California) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356444897 PECOS PAC ID: 3577476761 Enrollment ID: O20040109000444 |
Entity Name | Anesthesia Consultants Of California Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164463055 PECOS PAC ID: 3375456692 Enrollment ID: O20050328000630 |
Entity Name | Michael Nussbaum, M.d., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114297892 PECOS PAC ID: 4183882798 Enrollment ID: O20120228000208 |
Entity Name | North County Anesthesia Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407567282 PECOS PAC ID: 6901271758 Enrollment ID: O20230407001543 |
Mailing Address | Practice Location Address |
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Michael Nussbaum, MD Po Box 34120, Reno, NV 89533-4120 Ph: (877) 747-5050 | Michael Nussbaum, MD 15525 Pomerado Rd, Poway, CA 92064-2435 Ph: (858) 521-0031 |
Dr. William Lowell Nelson Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 13439 Calle Colina, Poway, CA 92064 Phone: 858-385-9064 | |
Lakshmi S Sundblad, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15525 Pomerado Rd Ste E2, Poway, CA 92064 Phone: 858-521-0031 | |
Mr. Christopher John Gordon Chisholm, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15725 Pomerado Rd, Suite 107, Poway, CA 92064 Phone: 858-453-7700 Fax: 858-947-3828 | |
Patricia Johnson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 15525 Pomerado Rd, Ste E2, Poway, CA 92064 Phone: 858-521-0031 Fax: 858-421-0912 |