Mr Brett Peyton Custodia, CRNA | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2448 | |
Not Available |
Full Name | Mr Brett Peyton Custodia |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 13652 Cantara St, Panorama City, 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 |
---|---|---|---|
1609041714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3542 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts General Physicians Organization Inc | 2466365820 | 3084 |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Mr Brett Peyton Custodia, CRNA 14262 Tyler St, #10, Sylmar, CA 91342-1584 Ph: (818) 741-9129 | Mr Brett Peyton Custodia, CRNA 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2448 |
Loretta F Vejar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Sandra K Bordi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2391 | |
Dr. Natalie Robins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 833-574-2273 | |
Irene Jansen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Heather R Klein, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 818-375-4100 | |
Terry L Anton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Heidi Machen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 833-574-2273 |