Anthony Trejo, | |
1425 S Main St, Walnut Creek, CA 94596-5318 | |
(925) 295-4000 | |
Not Available |
Full Name | Anthony Trejo |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1425 S Main St, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033891288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95002104 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Maitran Consulting Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003572769 PECOS PAC ID: 2567858764 Enrollment ID: O20220414001359 |
Mailing Address | Practice Location Address |
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Anthony Trejo, 1026 Sheppard Rd, Walnut Creek, CA 94598-1348 Ph: (858) 668-8975 | Anthony Trejo, 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000 |
Michelle Cable Vu, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Mr. Brett James Coleman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 510-295-4000 | |
Mrs. Connie M Tracy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 | |
Rosemary W Kanake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1470 Creekside Dr Apt 3, Walnut Creek, CA 94596 Phone: 314-461-1058 | |
Amy Elizabeth Bode, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4739 | |
Isabelita Gecale Puruganan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 Fax: 925-295-6116 |