| Irene Mangacu, | |
|
2370 Carson St, Redwood City, CA 94061-2008 | |
| (805) 302-6412 | |
| Not Available |
| Full Name | Irene Mangacu |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 2370 Carson St, Redwood City, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891160644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 697151 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000476 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| 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 |
| Entity Name | Empire Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174792261 PECOS PAC ID: 8224197108 Enrollment ID: O20081106000675 |
| Entity Name | Salim M. Shelby Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669730339 PECOS PAC ID: 2163687146 Enrollment ID: O20120625000277 |
| Entity Name | Maitran Consulting Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003572769 PECOS PAC ID: 2567858764 Enrollment ID: O20220414001359 |
| Entity Name | Apa Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700596111 PECOS PAC ID: 7315303476 Enrollment ID: O20230515002560 |
| Entity Name | Credence Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881381002 PECOS PAC ID: 9133586639 Enrollment ID: O20230526001011 |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Mangacu, 4261 Stevenson Blvd, Apt. 286, Fremont, CA 94538-2787 Ph: (805) 302-6412 | Irene Mangacu, 2370 Carson St, Redwood City, CA 94061-2008 Ph: (805) 302-6412 |
Mr. John Soliz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3519 Fax: 650-299-2626 | |
Sandy L Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3534 | |
Cameron Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Mr. Daniel Loh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Anesthesia Dept., Redwood City, CA 94063 Phone: 650-299-3142 Fax: 650-299-2626 | |
Mrs. Cecilia Marie Chase, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3142 | |
Janice Mccollough Hudson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3142 | |
Diane M Washington, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-3142 |