| Justin Todd Ellison, CRNA | |
|
7601 Imperial Hwy, Downey, CA 90242-3456 | |
| (562) 385-7162 | |
| Not Available |
| Full Name | Justin Todd Ellison |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 7601 Imperial Hwy, Downey, 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 |
|---|---|---|---|
| 1558821769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95001077 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Vasa Anesthesia Professional Corporation | 9133665482 | 13 |
| 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 | Morpheus Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023529591 PECOS PAC ID: 4486909132 Enrollment ID: O20180620001921 |
| Entity Name | Vasa Anesthesia Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356108831 PECOS PAC ID: 9133665482 Enrollment ID: O20240723000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Todd Ellison, CRNA 7601 Imperial Hwy, Downey, CA 90242-3456 Ph: (562) 385-7162 | Justin Todd Ellison, CRNA 7601 Imperial Hwy, Downey, CA 90242-3456 Ph: (562) 385-7162 |
Chelsea Putman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273 | |
Monica Lang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273 | |
Frances Aponte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-803-0124 Fax: 562-803-5569 | |
Amee T. Ramirez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9449 Imperial Hwy, Downey, CA 90242 Phone: 562-657-9900 | |
Michael John Huynh, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-385-9281 | |
Karen L. Glance-smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8635 Firestone Blvd, Ste # 100, Downey, CA 90241 Phone: 562-862-5121 Fax: 562-862-3027 | |
Ronald Rea Tolentino Atienza, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 562-657-9000 |