Ivan C Valladolid, CRNA in Riverside, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Ivan C Valladolid, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Riverside, California. He graduated from nursing school in 1985 and has 39 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Southern California Permanente Medical Group, Scq Anesthesia A Professional Nursing Corporation and his current practice location is 10800 Magnolia Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (909) 353-2000.

Ivan C Valladolid is licensed to practice in California (license number NA1504) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285786632.

Contact Information

	Ivan C Valladolid, CRNA
	10800 Magnolia Ave, Riverside, CA 92505-3043
	(909) 353-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ivan C Valladolid
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	39 Years
Location	10800 Magnolia Ave, Riverside, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ivan C Valladolid graduated from nursing school in 1985

NPI Data:

NPI Number: 1285786632
Provider Enumeration Date: 01/17/2007
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4486698214
Enrollment ID: I20050613001323

Medical Identifiers

Medical identifiers for Ivan C Valladolid such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285786632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA1504 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951
Scq Anesthesia A Professional Nursing Corporation	9436520814	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ivan C Valladolid allows following entities to bill medicare on his behalf.

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

Entity Name	Lgibson Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417473323 PECOS PAC ID: 3476827288 Enrollment ID: O20170918001886

Entity Name	Scq Anesthesia A Professional Nursing Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689381105 PECOS PAC ID: 9436520814 Enrollment ID: O20230123000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan C Valladolid is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ivan C Valladolid, CRNA 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000	Ivan C Valladolid, CRNA 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (909) 353-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Riverside, CA

Mr. Steven Frank Goins, CRNA, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3575 Gay Way, Riverside, CA 92504 Phone: 951-785-5901
Dino M Mendoza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Cliff Fontelera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Emely Rebekah Garcia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-870-3189
Charles B Robison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Karla S Hoksbergen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Ruchama Barkai, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 410-585-7241

Ivan C Valladolid, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Riverside, CA