| Jason Melo, | |
|
420 34th St, Bakersfield, CA 93301-2237 | |
| (661) 327-4647 | |
| Not Available |
| Full Name | Jason Melo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 420 34th St, Bakersfield, 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 |
|---|---|---|---|
| 1487132775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 123099 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 107 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Melo, 2421 C St, Bakersfield, CA 93301-2715 Ph: (559) 936-0215 | Jason Melo, 420 34th St, Bakersfield, CA 93301-2237 Ph: (661) 327-4647 |
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