Dr Olufemi Olugboyega Ogungbe Jr, | |
34800 Bob Wilson Dr, San Diego, CA 92134-1098 | |
(619) 532-6400 | |
Not Available |
Full Name | Dr Olufemi Olugboyega Ogungbe Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 34800 Bob Wilson Dr, San Diego, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194497131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95001580 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024187349 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Regional Medical Center | Newport news, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Anesthesia Associates Pllc | 5890739205 | 115 |
American Anesthesiology Of Virginia Pc | 6800790023 | 542 |
Entity Name | American Anesthesiology Of Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
Entity Name | Surgical Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161 |
Mailing Address | Practice Location Address |
---|---|
Dr Olufemi Olugboyega Ogungbe Jr, 1512 Vista Verde Dr, Escondido, CA 92026-1504 Ph: (619) 607-1790 | Dr Olufemi Olugboyega Ogungbe Jr, 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 532-6400 |
Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183 | |
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Lena Grace Stephens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943 | |
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960 | |
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |