| Deji Akinlosotu, CRNA | |
|
3300 Renner Dr, Fortuna, CA 95540-3120 | |
| (707) 725-7327 | |
| Not Available |
| Full Name | Deji Akinlosotu |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3300 Renner Dr, Fortuna, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548574759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000700 (California) | Primary |
| Entity Name | Premier Anesthesia Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
| Entity Name | Kp Anesthesia Nursing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194120279 PECOS PAC ID: 0648594770 Enrollment ID: O20150121001056 |
| Entity Name | Taylormade Anesthesia A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811360928 PECOS PAC ID: 9537466230 Enrollment ID: O20160323002131 |
| Entity Name | St Joseph Health Northern California Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235218785 PECOS PAC ID: 8921374562 Enrollment ID: O20200706001160 |
| Entity Name | Akinlosotu Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780374975 PECOS PAC ID: 6608239447 Enrollment ID: O20230828001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Deji Akinlosotu, CRNA 1337 S Lovers Ln, Visalia, CA 93292-5249 Ph: (559) 733-7888 | Deji Akinlosotu, CRNA 3300 Renner Dr, Fortuna, CA 95540-3120 Ph: (707) 725-7327 |