| David Richard Casaclang, CRNA | |
| 
					2025 Morse Ave, Sacramento, CA 95825-2115  | |
| (916) 973-5000 | |
| Not Available | 
| Full Name | David Richard Casaclang | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 2025 Morse Ave, Sacramento, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801623996 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 151653 (California) | Primary | 
| 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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Richard Casaclang, CRNA 2025 Morse Ave, Sacramento, CA 95825-2115 Ph: () -  | David Richard Casaclang, CRNA 2025 Morse Ave, Sacramento, CA 95825-2115 Ph: (916) 973-5000  | 
Shannon Kentera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-7254  | |
Austin Amasowomwan, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Po Box 231185, Sacramento, CA 95823 Phone: 916-320-7699  | |
Kenneth D. Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975  | |
Thomas M. Goodnow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975  | |
Rasheed Ahmad Khan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696  | |
Kimberly Beres, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V Street, Pssb Ste 1200, Dept Of Anesthesiology And Pain Medicine, Sacramento, CA 95817 Phone: 916-734-5028 Fax: 916-734-2975  | |
Mr. Lewis Lindley Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696  |