| Marvin James Lopez Barruga, CRNA | |
|
850 S Atlantic Blvd Ste 201, Monterey Park, CA 91754-6705 | |
| (909) 570-9108 | |
| (909) 570-9334 |
| Full Name | Marvin James Lopez Barruga |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 850 S Atlantic Blvd Ste 201, Monterey Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548345143 | NPI | - | NPPES |
| ZZZ236442Z | Other | PPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA 2607 (California) | Primary |
| 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 | Tip Top Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508283698 PECOS PAC ID: 0941429872 Enrollment ID: O20140908002508 |
| Entity Name | West Coast Anesthesia Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164183695 PECOS PAC ID: 9638563521 Enrollment ID: O20220217002557 |
| Entity Name | Apa Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700596111 PECOS PAC ID: 7315303476 Enrollment ID: O20230515002560 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin James Lopez Barruga, CRNA Po Box 4259, Cerritos, CA 90703-4259 Ph: (562) 407-2080 | Marvin James Lopez Barruga, CRNA 850 S Atlantic Blvd Ste 201, Monterey Park, CA 91754-6705 Ph: (909) 570-9108 |
Mr. Ricardo S Pineda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Atlantic Blvd, Monterey Park, CA 91754 Phone: 626-570-9000 | |
Reena Vasquez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Atlantic Blvd, Monterey Park, CA 91754 Phone: 626-570-9000 | |
Ms. Idena Davidson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Atlantic Blvd, Monterey Park, CA 91754 Phone: 626-570-9000 Fax: 626-570-5700 | |
Brian William Burney, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 850s Atlantic Blvd 201, Monterey Park, CA 91754 Phone: 626-289-2894 Fax: 951-296-6741 |