| Dr Talitha Ruth Moton, DNP | |
| 
					34800 Bob Wilson Dr, San Diego, CA 92134-5285  | |
| (619) 886-5296 | |
| Not Available | 
| Full Name | Dr Talitha Ruth Moton | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 34800 Bob Wilson Dr, San Diego, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295309342 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 0001291054 (Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 0024182294 (Virginia) | Primary | 
| Entity Name | Temecula Ca Endoscopy Asc Lp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285863696 PECOS PAC ID: 4981645678 Enrollment ID: O20090730000041  | 
| Entity Name | Temecula Ca United Surgery Center Lp | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1275951196 PECOS PAC ID: 9436465853 Enrollment ID: O20150831003140  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Talitha Ruth Moton, DNP 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 Ph: () -  | Dr Talitha Ruth Moton, DNP 34800 Bob Wilson Dr, San Diego, CA 92134-5285 Ph: (619) 886-5296  | 
Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183  | |
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000  | |
Lena Grace Stephens,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943  | |
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000  | |
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273  | |
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960  | |
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781  |