Vadim Smirnov, CRNA, MSN, MD | |
Raymond Renaissance Surgery Center, 125 N Raymond Av 212, Pasadena, CA 91103 | |
(415) 290-0489 | |
Not Available |
Full Name | Vadim Smirnov |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | Raymond Renaissance Surgery Center, Pasadena, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144551730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 3879 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3879 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia On Demand - A Professional Nursing Corporation | 1850780206 | 7 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Omni Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720038839 PECOS PAC ID: 4385638303 Enrollment ID: O20040413000584 |
Entity Name | Mayers Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912125667 PECOS PAC ID: 6305804196 Enrollment ID: O20041227000593 |
Entity Name | Anesthesia Services Of San Joaquin Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
Entity Name | San Gabriel Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538424908 PECOS PAC ID: 3678720604 Enrollment ID: O20120828000023 |
Entity Name | Anesthesia On Demand - A Professional Nursing Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003485384 PECOS PAC ID: 1850780206 Enrollment ID: O20211105001178 |
Mailing Address | Practice Location Address |
---|---|
Vadim Smirnov, CRNA, MSN, MD 722 S Manhattan Pl Apt 301, Los Angeles, CA 90005-3122 Ph: (415) 290-0489 | Vadim Smirnov, CRNA, MSN, MD Raymond Renaissance Surgery Center, 125 N Raymond Av 212, Pasadena, CA 91103 Ph: (415) 290-0489 |