Ivan C Valladolid, CRNA | |
10800 Magnolia Ave, Riverside, CA 92505-3043 | |
(909) 353-2000 | |
Not Available |
Full Name | Ivan C Valladolid |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 39 Years |
Location | 10800 Magnolia Ave, Riverside, 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 |
---|---|---|---|
1285786632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NA1504 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Scq Anesthesia A Professional Nursing Corporation | 9436520814 | 7 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Lgibson Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417473323 PECOS PAC ID: 3476827288 Enrollment ID: O20170918001886 |
Entity Name | Scq Anesthesia A Professional Nursing Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689381105 PECOS PAC ID: 9436520814 Enrollment ID: O20230123000678 |
Mailing Address | Practice Location Address |
---|---|
Ivan C Valladolid, CRNA 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 | Ivan C Valladolid, CRNA 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000 |
Mr. Steven Frank Goins, CRNA, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3575 Gay Way, Riverside, CA 92504 Phone: 951-785-5901 | |
Dino M Mendoza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Cliff Fontelera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Emely Rebekah Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-870-3189 | |
Charles B Robison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Karla S Hoksbergen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Ruchama Barkai, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 410-585-7241 |