| Dr Manminder Singh Johal, CRNA | |
|
101 Bodin Cir, Fairfield, CA 94535-1809 | |
| (707) 423-5005 | |
| Not Available |
| Full Name | Dr Manminder Singh Johal |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 101 Bodin Cir, Fairfield, 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 |
|---|---|---|---|
| 1568359834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002644 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health St Helena | Saint helena, CA | Hospital |
| San Joaquin General Hospital | French camp, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Helena Hospital | 8729059878 | 85 |
| Green Anesthesia | 6103270566 | 23 |
| San Joaquin Faculty Medical Group | 4082631395 | 126 |
| Entity Name | County of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
| Entity Name | St. Helena Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
| Entity Name | San Joaquin Faculty Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
| Entity Name | Green Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457039331 PECOS PAC ID: 6103270566 Enrollment ID: O20231004000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manminder Singh Johal, CRNA 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5005 | Dr Manminder Singh Johal, CRNA 101 Bodin Cir, Fairfield, CA 94535-1809 Ph: (707) 423-5005 |
Janice Shannon-cain, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Anesthesia Dept, Fairfield, CA 94535 Phone: 510-517-4123 |
Diane Leslie Layman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Circle Travis Afb, Fairfield, CA 94535 Phone: 707-423-7948 |
Tina Renee Isaac, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-673-3594 |
Joseph Matthew Helms, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Low Ct Fl 2, Fairfield, CA 94534 Phone: 707-432-2700 |