| Antonio Moreno, | |
|
2101 N Waterman Ave, San Bernardino, CA 92404-4836 | |
| (909) 883-8711 | |
| Not Available |
| Full Name | Antonio Moreno |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 2101 N Waterman Ave, San Bernardino, 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 |
|---|---|---|---|
| 1154984706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95001104 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1153 |
| San Gabriel Anesthesia Associates, Pc | 3678720604 | 15 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Moreno, 25590 Prospect Ave Apt 25h, Loma Linda, CA 92354-3149 Ph: (323) 440-1388 | Antonio Moreno, 2101 N Waterman Ave, San Bernardino, CA 92404-4836 Ph: (909) 883-8711 |
William Perkins, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Matthew Peterkin, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-269-1947 | |
Christina Maria Picar Tan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Vincent Scheuher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Andrew Steven Lim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711 | |
Louise Harrell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 165 W Hospitality Ln, Suite 1, San Bernardino, CA 92408 Phone: 909-885-0282 Fax: 909-889-7367 |