Kelly Mccormick, CRNA | |
400 N Pepper Ave, Colton, CA 92324-1801 | |
(909) 580-1000 | |
Not Available |
Full Name | Kelly Mccormick |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 400 N Pepper Ave, Colton, 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 |
---|---|---|---|
1932534039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000021 (California) | Secondary |
163W00000X | Registered Nurse | 751741 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of California | 8527971316 | 218 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404 |
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 | Martin Luther King Jr Community Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
Mailing Address | Practice Location Address |
---|---|
Kelly Mccormick, CRNA 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () - | Kelly Mccormick, CRNA 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 |
Cindy Cozart, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Linda Matthews, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Brandi Deuel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3144 Fax: 909-580-2165 | |
Chique Lou Flores, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Patricia Abba, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Mimosa Tumang, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Edith Harris, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 |