Paula Ann Clark, CRNA | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 920-9459 | |
Not Available |
Full Name | Paula Ann Clark |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 25825 Vermont Ave, Harbor City, 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 |
---|---|---|---|
1215110580 | NPI | - | NPPES |
1261768 | Other | CAQH | |
I9551971 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 556632 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3548 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Palmdale Regional Medical Center | Palmdale, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Palmdale Anesthesia, Inc | 4385082734 | 14 |
Digestive Care Consultants | 6608867304 | 13 |
Entity Name | Digestive Care Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720078892 PECOS PAC ID: 6608867304 Enrollment ID: O20040520001630 |
Entity Name | Monterey Anesthesia Professionals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073935250 PECOS PAC ID: 6002047164 Enrollment ID: O20140402002486 |
Entity Name | Landmark Anesthesia Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770035024 PECOS PAC ID: 5698055804 Enrollment ID: O20161206000144 |
Entity Name | Palmdale Anesthesia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205698115 PECOS PAC ID: 4385082734 Enrollment ID: O20240403003660 |
Mailing Address | Practice Location Address |
---|---|
Paula Ann Clark, CRNA 5130 E Burnett St, Long Beach, CA 90815-1905 Ph: () - | Paula Ann Clark, CRNA 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 920-9459 |
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 | |
Mr. Jon David Beserra Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |