Michelle Dajdumrongwood, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Woodland Hills, CA

  1. Home
  2. Nurse Anesthetist - CR
  3. CA
  4. Woodland Hills
Michelle Dajdumrongwood, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Woodland Hills, California. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Pacific Valley Medical Group, Socal Anesthesia Solutions Inc and her current practice location is 5636 Blanco Ave, Woodland Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 926-8898.

Michelle Dajdumrongwood is licensed to practice in California (license number 091420) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568720902.

Contact Information

Michelle Dajdumrongwood, CRNA
5636 Blanco Ave,
Woodland Hills, CA 91367-4007
(818) 926-8898
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Dajdumrongwood
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location5636 Blanco Ave, Woodland Hills, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle Dajdumrongwood graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1568720902
  • Provider Enumeration Date: 04/23/2012
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113171398
  • Enrollment ID: I20130218000326

Medical Identifiers

Medical identifiers for Michelle Dajdumrongwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568720902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 091420 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Huntington Memorial HospitalPasadena, CAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Dajdumrongwood allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NamePacific Valley Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851312862
PECOS PAC ID: 3577465368
Enrollment ID: O20040122000762
Entity NameAlgos Inc A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497747356
PECOS PAC ID: 8123917713
Enrollment ID: O20040311001539
Entity NameSocal Anesthesia Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407596901
PECOS PAC ID: 0042607426
Enrollment ID: O20220504000637
Entity NameM Dajdumrongwood Anesthesia Nursing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134904493
PECOS PAC ID: 2668827684
Enrollment ID: O20231011003152

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Dajdumrongwood is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle Dajdumrongwood, CRNA
Po Box 7001,
Tarzana, CA 91357-7001

Ph: (818) 926-8898		Michelle Dajdumrongwood, CRNA
5636 Blanco Ave,
Woodland Hills, CA 91367-4007

Ph: (818) 926-8898

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Woodland Hills, CA

Donna M Kary, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Megan M Miller, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Elly K Yoo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Mrs. Laura Susan Van Rossum, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5601 De Soto Ave, Dept Of Anesthesia, Woodland Hills, CA 91367
Phone: 818-719-2695    
Mrs. Marin M Sullivan, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Janice D Weitz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367
Phone: 818-719-2000    
Gloria C Angeles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5826 Kelvin Ave, Woodland Hills, CA 91367
Phone: 818-932-0450    Fax: 818-518-3537

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.