Johnal Miguel Manasan, RN | |
3100 Telegraph Ave, Oakland, CA 94609-3239 | |
(800) 607-6377 | |
Not Available |
Full Name | Johnal Miguel Manasan |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3100 Telegraph Ave, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144998261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95039843 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002272 (California) | Primary |
Entity Name | Oak Creek Anesthesia Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619589512 PECOS PAC ID: 9739509407 Enrollment ID: O20201019001247 |
Mailing Address | Practice Location Address |
---|---|
Johnal Miguel Manasan, RN 1689 Rosewood Ln, Hanford, CA 93230-2561 Ph: (559) 410-1100 | Johnal Miguel Manasan, RN 3100 Telegraph Ave, Oakland, CA 94609-3239 Ph: (800) 607-6377 |
Diana Hiros, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Annette Chenevey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
David P Birch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Sandra Sue Schmit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Ray Neil Mitsuno, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000 | |
Mrs. Polly Van Sant Soler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612 Phone: 510-625-6262 | |
James Orval Merry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, Alameda County Medical Center, Oakland, CA 94602 Phone: 510-437-4800 |