Mr Brock Victor Nyquist, CRNA, MSN | |
902 N Grand Ave, Santa Ana, CA 92701-4218 | |
(562) 544-8804 | |
Not Available |
Full Name | Mr Brock Victor Nyquist |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 902 N Grand Ave, Santa Ana, 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 |
---|---|---|---|
1134218969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 489087 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3079 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Desert Regional Medical Center | Palm springs, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 77 |
Entity Name | Cp Nursing Anesthesia Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316185614 PECOS PAC ID: 8123182581 Enrollment ID: O20090129000338 |
Entity Name | Palm Springs Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
Entity Name | Coachella Valley Anesthesia A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
Mailing Address | Practice Location Address |
---|---|
Mr Brock Victor Nyquist, CRNA, MSN 5701 E 2nd St, #8, Long Beach, CA 90803-5072 Ph: (562) 439-1609 | Mr Brock Victor Nyquist, CRNA, MSN 902 N Grand Ave, Santa Ana, CA 92701-4218 Ph: (562) 544-8804 |
Mr. Michael Anthony Gonzales, CRNA, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 811 S Maxine St, Santa Ana, CA 92704 Phone: 714-724-5035 | |
Gustavo Gutierrez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 902 N Grand Ave Ste 100, Santa Ana, CA 92701 Phone: 310-386-6718 | |
Kelly Elizabeth Ricker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2502 N Spurgeon St, Santa Ana, CA 92706 Phone: 714-742-0365 | |
Mrs. Jaine Katharine Hoopes Chapman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2534 N Spurgeon St, Santa Ana, CA 92706 Phone: 619-991-0915 |