| Gustavo Gutierrez, CRNA | |
|
902 N Grand Ave Ste 100, Santa Ana, CA 92701-4223 | |
| (310) 386-6718 | |
| Not Available |
| Full Name | Gustavo Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 902 N Grand Ave Ste 100, Santa Ana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841470754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 553198 (California) | Primary |
| Entity Name | Morpheus Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023529591 PECOS PAC ID: 4486909132 Enrollment ID: O20180620001921 |
| Entity Name | Sky Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962050401 PECOS PAC ID: 8426481342 Enrollment ID: O20191207000211 |
| Entity Name | Vasa Anesthesia Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356108831 PECOS PAC ID: 9133665482 Enrollment ID: O20240723000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo Gutierrez, CRNA Po Box 3504, Tustin, CA 92781-3504 Ph: (310) 386-6718 | Gustavo Gutierrez, CRNA 902 N Grand Ave Ste 100, Santa Ana, CA 92701-4223 Ph: (310) 386-6718 |
Mr. Brock Victor Nyquist, C.R.N.A., MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 902 N Grand Ave, Santa Ana, CA 92701 Phone: 562-544-8804 | |
Mr. Michael Anthony Gonzales, CRNA, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 811 S Maxine St, Santa Ana, CA 92704 Phone: 714-724-5035 | |
Kelly Elizabeth Ricker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2502 N Spurgeon St, Santa Ana, CA 92706 Phone: 714-742-0365 | |
Mrs. Jaine Katharine Hoopes Chapman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2534 N Spurgeon St, Santa Ana, CA 92706 Phone: 619-991-0915 |