| Heather Paula Rodriguez, | |
|
11262 Campus St, Loma Linda, CA 92350-1727 | |
| (909) 558-4923 | |
| Not Available |
| Full Name | Heather Paula Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 11262 Campus St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124897962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 828899 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Paula Rodriguez, 11262 Campus St, Loma Linda, CA 92350-1727 Ph: (909) 558-4923 | Heather Paula Rodriguez, 11262 Campus St, Loma Linda, CA 92350-1727 Ph: (909) 558-4923 |
Joseph M Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 | |
Kurt Dieter Cao, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8173 | |
Edwin E Dupper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 | |
Mr. Jose Kadry Ii, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811 Fax: 909-558-4143 | |
Rochelle Antoinette Solorzano, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811 | |
Jason John Fry, CRNA, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11234 Anderson St Ste A504, Loma Linda, CA 92350 Phone: 909-558-7811 | |
Karin Zabel Nercissian, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 |