| Loretta Miner Gibson, CRNA | |
|
14145 Southwood Dr, Fontana, CA 92337-2724 | |
| (909) 268-5549 | |
| (909) 363-7416 |
| Full Name | Loretta Miner Gibson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 14145 Southwood Dr, Fontana, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629053525 | NPI | - | NPPES |
| RN3686700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA3135 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Murrieta Anesthesia Corporation | 7911033808 | 4 |
| Entity Name | Michael T Reid |
|---|---|
| Entity Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Entity Identifiers | NPI Number: 1104832039 PECOS PAC ID: 3375589617 Enrollment ID: I20050707001086 |
| Entity Name | Murrieta Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083847099 PECOS PAC ID: 7911033808 Enrollment ID: O20100330001007 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
| Entity Name | Bairos Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861744161 PECOS PAC ID: 4789837550 Enrollment ID: O20130102000297 |
| Entity Name | Anesthesia Provider Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538404256 PECOS PAC ID: 1951544329 Enrollment ID: O20130904000472 |
| Entity Name | Monterey Anesthesia Professionals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073935250 PECOS PAC ID: 6002047164 Enrollment ID: O20140402002486 |
| Entity Name | Desert Cities Anesthesia Professionals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386016087 PECOS PAC ID: 2264732031 Enrollment ID: O20151130001956 |
| 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 | Horieh Anesthesia Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346953007 PECOS PAC ID: 8022489210 Enrollment ID: O20230126001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Miner Gibson, CRNA 14145 Southwood Dr, Fontana, CA 92337-2724 Ph: (909) 268-5549 | Loretta Miner Gibson, CRNA 14145 Southwood Dr, Fontana, CA 92337-2724 Ph: (909) 268-5549 |
Kadette Kelly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Kenneth B Lake, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Ronald D Stephens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Alyssa Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 000-000-0000 | |
Brendan Williams, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15218 Summit Ave Ste 300-130, Fontana, CA 92336 Phone: 909-255-2661 | |
Hisham Maassarani, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-302-4886 | |
Edith M Marca-solomon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |