| Michael Nussbaum, MD | |
|
15525 Pomerado Rd, Poway, CA 92064-2435 | |
| (858) 521-0031 | |
| (858) 521-0912 |
| Full Name | Michael Nussbaum |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 15525 Pomerado Rd, Poway, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932100856 | NPI | - | NPPES |
| 00G607270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G60727 (California) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356444897 PECOS PAC ID: 3577476761 Enrollment ID: O20040109000444 |
| Entity Name | Anesthesia Consultants Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164463055 PECOS PAC ID: 3375456692 Enrollment ID: O20050328000630 |
| Entity Name | Michael Nussbaum, M.d., Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114297892 PECOS PAC ID: 4183882798 Enrollment ID: O20120228000208 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Nussbaum, MD Po Box 34120, Reno, NV 89533-4120 Ph: (877) 747-5050 | Michael Nussbaum, MD 15525 Pomerado Rd, Poway, CA 92064-2435 Ph: (858) 521-0031 |
Dr. William Lowell Nelson Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 13439 Calle Colina, Poway, CA 92064 Phone: 858-385-9064 | |
Lakshmi S Sundblad, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15525 Pomerado Rd Ste E2, Poway, CA 92064 Phone: 858-521-0031 | |
Mr. Christopher John Gordon Chisholm, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15725 Pomerado Rd, Suite 107, Poway, CA 92064 Phone: 858-453-7700 Fax: 858-947-3828 | |
Patricia Johnson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd, Ste E2, Poway, CA 92064 Phone: 858-521-0031 Fax: 858-421-0912 |