| Jake R Moss, CRNA | |
|
1600 N Rose Ave, Oxnard, CA 93030-3722 | |
| (805) 988-2500 | |
| Not Available |
| Full Name | Jake R Moss |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1600 N Rose Ave, Oxnard, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750062022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95133238 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95002485 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
| Entity Name | Amsurg Arcadia Anesthesia Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114291226 PECOS PAC ID: 7214199850 Enrollment ID: O20120427000249 |
| Entity Name | Glendora Anesthesia Associates Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750748331 PECOS PAC ID: 0143528216 Enrollment ID: O20160406001636 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake R Moss, CRNA 12858 Woodbridge St, Studio City, CA 91604-1560 Ph: () - | Jake R Moss, CRNA 1600 N Rose Ave, Oxnard, CA 93030-3722 Ph: (805) 988-2500 |
Lorie A Salamati, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Solar Drive #100, Oxnard, CA 93036 Phone: 909-946-5752 Fax: 909-985-3858 | |
Hannah Zentner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2500 | |
Ms. Lauri M. Spero, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2300 Wankel Way, Oxnard, CA 93030 Phone: 310-471-5852 | |
Ms. Saralee S. Glaser, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Wankel Way, Oxnard, CA 93030 Phone: 805-485-1908 Fax: 805-485-5767 | |
Dustin Widmann, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2500 | |
Lois Remely, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Wankel Way, Oxnard, CA 93030 Phone: 805-485-1908 |