| Derek Joseph Fiedler, | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-8888 | |
| Not Available |
| Full Name | Derek Joseph Fiedler |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 The City Dr S, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205391620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 209018750 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001930 (California) | Primary |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Entity Name | Regents Of The University Of |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487602546 PECOS PAC ID: 8729983473 Enrollment ID: O20031204001085 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265535702 PECOS PAC ID: 3577476761 Enrollment ID: O20040102000635 |
| Entity Name | Brotman Medical Anesthesia Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154378362 PECOS PAC ID: 8123027547 Enrollment ID: O20061213000236 |
| Entity Name | Morpheus Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023529591 PECOS PAC ID: 4486909132 Enrollment ID: O20180620001921 |
| Entity Name | Escondido Anesthesia Associates Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588151120 PECOS PAC ID: 5799034518 Enrollment ID: O20180827003365 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Joseph Fiedler, 200 S Manchester Ave Ste 300, Orange, CA 92868-3219 Ph: (714) 456-8888 | Derek Joseph Fiedler, 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-8888 |