Mr Jean-frederick Blais, | |
34800 Bob Wilson Dr, San Diego, CA 92134-4712 | |
(301) 401-2591 | |
Not Available |
Full Name | Mr Jean-frederick Blais |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 34800 Bob Wilson Dr, San Diego, 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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1912408527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 95001541 (California) | Primary |
Entity Name | Temecula Ca Endoscopy Asc Lp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285863696 PECOS PAC ID: 4981645678 Enrollment ID: O20090730000041 |
Entity Name | San Gabriel Anesthesia Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538424908 PECOS PAC ID: 3678720604 Enrollment ID: O20120828000023 |
Entity Name | Anesthesia Medical Group Of Imperial Valley Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487087136 PECOS PAC ID: 9335379775 Enrollment ID: O20140303001946 |
Entity Name | Temecula Ca United Surgery Center Lp |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1275951196 PECOS PAC ID: 9436465853 Enrollment ID: O20150831003140 |
Mailing Address | Practice Location Address |
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Mr Jean-frederick Blais, 1416 Lincoln Ave, San Diego, CA 92103-2604 Ph: (301) 401-2591 | Mr Jean-frederick Blais, 34800 Bob Wilson Dr, San Diego, CA 92134-4712 Ph: (301) 401-2591 |
Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183 | |
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Lena Grace Stephens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943 | |
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960 | |
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |