Jared Stephen Lange, | |
101 The City Dr S, Orange, CA 92868-3201 | |
(714) 456-7890 | |
Not Available |
Full Name | Jared Stephen Lange |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 101 The City Dr S, Orange, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578002689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95001274 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Community Hospital | Riverside, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Anesthesia Group, Inc. | 3870901929 | 10 |
Golden State Providers, A Medical Corporation | 7012212475 | 67 |
Entity Name | Golden State Providers, A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366859449 PECOS PAC ID: 7012212475 Enrollment ID: O20160223000539 |
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 | Trinity Anesthesia Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861078693 PECOS PAC ID: 3870901929 Enrollment ID: O20210409001631 |
Mailing Address | Practice Location Address |
---|---|
Jared Stephen Lange, 5281 Vista Del Amigo, Yorba Linda, CA 92886-4656 Ph: (404) 502-6808 | Jared Stephen Lange, 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-7890 |
Miranda G Ideal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Michelle Smith Aquino, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Amy Louise Owens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Kaitlin Dempsey, DNP, CRNA, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Hai Ly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 | |
Amy D Kosanke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5261 | |
Sara Hollmann Learned, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7890 |