Mr Thomas Anthony Lata, CRNA, ACNP | |
2550 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | |
(530) 529-8000 | |
Not Available |
Full Name | Mr Thomas Anthony Lata |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2550 Sister Mary Columba Dr, Red Bluff, 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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1053610659 | NPI | - | NPPES |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Mr Thomas Anthony Lata, CRNA, ACNP 371 Barnhart Cir, Sacramento, CA 95835-1526 Ph: (916) 607-1085 | Mr Thomas Anthony Lata, CRNA, ACNP 2550 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 Ph: (530) 529-8000 |
Sean Thiers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-529-8000 | |
Mr. Kenneth Dewey Childers Jr., C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-529-8000 | |
Mr. Andre C Schuetz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-529-8340 Fax: 530-527-9517 | |
Randy R Gray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-528-8701 Fax: 530-528-8712 | |
James Steven Gregory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2550 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-528-9032 Fax: 530-528-9032 |