| Ms Leezett Andrea Lopez, RN, BSN, PHN, CCRN | |
|
9961 Sierra Ave, Fontana, CA 92335-6720 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Ms Leezett Andrea Lopez |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 9961 Sierra Ave, Fontana, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235650672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 837949 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001634 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital Fontana/ontario | Fontana, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 8172 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| 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 | Jp Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609590926 PECOS PAC ID: 1759750193 Enrollment ID: O20221207001703 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Leezett Andrea Lopez, RN, BSN, PHN, CCRN 1100 N State St, Los Angeles, CA 90033-5000 Ph: () - | Ms Leezett Andrea Lopez, RN, BSN, PHN, CCRN 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (833) 574-2273 |
Kadette Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Kenneth B Lake, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Ronald D Stephens, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Alyssa Wilson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 000-000-0000 | |
Brendan Williams, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15218 Summit Ave Ste 300-130, Fontana, CA 92336 Phone: 909-255-2661 | |
Hisham Maassarani, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-302-4886 | |
Edith M Marca-solomon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |