| Brian Kim, MSN, CRNA | |
|
400 N Pepper Ave, Colton, CA 92324 | |
| (909) 580-2440 | |
| Not Available |
| Full Name | Brian Kim |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 400 N Pepper Ave, Colton, 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 |
|---|---|---|---|
| 1770082455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 844249 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1770082455 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hi-desert Medical Center | Joshua tree, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sda Services Of Ca | 5496094823 | 38 |
| Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 107 |
| Entity Name | Michael T Reid |
|---|---|
| Entity Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Entity Identifiers | NPI Number: 1104832039 PECOS PAC ID: 3375589617 Enrollment ID: I20050707001086 |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| 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 |
| Entity Name | Lgibson Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417473323 PECOS PAC ID: 3476827288 Enrollment ID: O20170918001886 |
| Entity Name | Sda Services Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417428970 PECOS PAC ID: 5496094823 Enrollment ID: O20190302000074 |
| Entity Name | Marquee Anesthesia Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760942619 PECOS PAC ID: 6204169006 Enrollment ID: O20190611000748 |
| Entity Name | Liberty Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518626258 PECOS PAC ID: 3870985641 Enrollment ID: O20220128000603 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Kim, MSN, CRNA Po Box 34120, Reno, NV 89533-4120 Ph: (775) 747-5050 | Brian Kim, MSN, CRNA 400 N Pepper Ave, Colton, CA 92324 Ph: (909) 580-2440 |
Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441 | |
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762 | |
Ivan Stiger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440 | |
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190 | |
Luis Merida, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440 | |
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441 |