Jacob Mason, CRNA | |
3638 E Ocean Blvd Apt 1, Long Beach, CA 90803-2753 | |
(626) 340-3354 | |
(626) 340-3354 |
Full Name | Jacob Mason |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3638 E Ocean Blvd Apt 1, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1811344369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 95000611 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Digestive Health Associates Of Southern California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639604747 PECOS PAC ID: 3375806888 Enrollment ID: O20180416002250 |
Mailing Address | Practice Location Address |
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Jacob Mason, CRNA 16712 Saybrook Lane #103, Huntington Beach, CA 92649 Ph: (626) 340-3354 | Jacob Mason, CRNA 3638 E Ocean Blvd Apt 1, Long Beach, CA 90803-2753 Ph: (626) 340-3354 |
Lizbhet Nunez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Valerie Vigie, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Mrs. Shantall Lisette Strozier, DNAP CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 310-387-7018 | |
Mr. Jay Francis Reyes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Nancy Kelly-culberson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 E Erie St, Long Beach, CA 90802 Phone: 310-251-9801 | |
Wasin Luckanavanich, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-825-8000 | |
Mrs. Sandra A Todd, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-5412 |