| Kelly Elizabeth Ricker, CRNA | |
|
2502 N Spurgeon St, Santa Ana, CA 92706-1731 | |
| (714) 742-0365 | |
| Not Available |
| Full Name | Kelly Elizabeth Ricker |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2502 N Spurgeon St, Santa Ana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851792998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 686341 (California) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Elizabeth Ricker, CRNA 2502 N Spurgeon St, Santa Ana, CA 92706-1731 Ph: (714) 742-0365 | Kelly Elizabeth Ricker, CRNA 2502 N Spurgeon St, Santa Ana, CA 92706-1731 Ph: (714) 742-0365 |
Mr. Brock Victor Nyquist, C.R.N.A., MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 902 N Grand Ave, Santa Ana, CA 92701 Phone: 562-544-8804 | |
Mr. Michael Anthony Gonzales, CRNA, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 811 S Maxine St, Santa Ana, CA 92704 Phone: 714-724-5035 | |
Gustavo Gutierrez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 902 N Grand Ave Ste 100, Santa Ana, CA 92701 Phone: 310-386-6718 | |
Mrs. Jaine Katharine Hoopes Chapman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2534 N Spurgeon St, Santa Ana, CA 92706 Phone: 619-991-0915 |