Grant Yip, CRNA | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-1000 | |
Not Available |
Full Name | Grant Yip |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700320991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 625519 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95000073 (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 |
Mailing Address | Practice Location Address |
---|---|
Grant Yip, CRNA 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 | Grant Yip, CRNA 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Sarah Elizabeth Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Ms. Anne Marie Pettibone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4742 | |
Tina Hwa Cheng, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4742 | |
Mr. Jhonnard James Acuna, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5622 | |
John Micheal Pearlman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Supreet Kaur, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Marta Hammond Ashby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3884 Fax: 707-651-2045 |