| Iris Dichupa, | |
|
75 Nielson St, Watsonville, CA 95076-2468 | |
| (831) 724-4741 | |
| Not Available |
| Full Name | Iris Dichupa |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 75 Nielson St, Watsonville, 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 |
|---|---|---|---|
| 1417450149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000885 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watsonville Community Hospital | Watsonville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Vi Pc | 0749688000 | 20 |
| Mai Nursing Anesthesia Pc | 2567858764 | 31 |
| Anesthesia Care Consultants Inc | 9032210935 | 18 |
| 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 | Anesthesia Care Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639524309 PECOS PAC ID: 9032210935 Enrollment ID: O20070723000275 |
| 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 | Lifelinc Anesthesia Vi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487221628 PECOS PAC ID: 0749688000 Enrollment ID: O20211018001772 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Dichupa, 2041 East St Ste 1377, Concord, CA 94520-2126 Ph: (831) 244-0111 | Iris Dichupa, 75 Nielson St, Watsonville, CA 95076-2468 Ph: (831) 724-4741 |