Mr Jon David Beserra Ii, CRNA | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 325-5111 | |
Not Available |
Full Name | Mr Jon David Beserra Ii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 25825 Vermont Ave, Harbor 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 |
---|---|---|---|
1336605682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95001053 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Innovative Minimally Invasive Imaging And Therapeutics, Inc | 9638458003 | 4 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Innovative Minimally Invasive Imaging & Therapeutics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952758849 PECOS PAC ID: 9638458003 Enrollment ID: O20161108001903 |
Entity Name | Digestive Health Associates Of Southern California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639604747 PECOS PAC ID: 3375806888 Enrollment ID: O20180416002250 |
Entity Name | Marquee Anesthesia Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760942619 PECOS PAC ID: 6204169006 Enrollment ID: O20190611000748 |
Entity Name | Scq Anesthesia A Professional Nursing Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689381105 PECOS PAC ID: 9436520814 Enrollment ID: O20230123000678 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon David Beserra Ii, CRNA 8073 Page St, Buena Park, CA 90621-3842 Ph: (702) 469-1946 | Mr Jon David Beserra Ii, CRNA 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 |
Tina L Holt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Loreto Albaran, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Mr. Scott Mathews, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-2585 | |
Melissa Roupoli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 800-780-1230 | |
Michelle A Navarrette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Angela Burney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |