| Michael Ortegon, | |
|
100 S Los Robles Ave # 501, Pasadena, CA 91101-2453 | |
| (626) 564-3016 | |
| Not Available |
| Full Name | Michael Ortegon |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 S Los Robles Ave # 501, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770265639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4471199 (Idaho) | Primary |
| 163W00000X | Registered Nurse | 95136631 (California) | Secondary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ortegon, 225 Fairmount Ave, Santa Cruz, CA 95062-1117 Ph: () - | Michael Ortegon, 100 S Los Robles Ave # 501, Pasadena, CA 91101-2453 Ph: (626) 564-3016 |
Andrea Lynn Shankar, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 170 E Walnut St Apt 412, Pasadena, CA 91103 Phone: 618-567-1287 | |
Mr. Austin Michael Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 45 S Oak Ave, #4, Pasadena, CA 91107 Phone: 509-845-1023 | |
Mrs. Kristine Lee Symeonides, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 393 E Walnut St, Pasadena, CA 91188 Phone: 626-405-3224 Fax: 626-405-2675 | |
Rozely Barbero, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 393 E Walnut St, Pasadena, CA 91188 Phone: 877-457-4772 | |
Lance Christopher Uniza Guerrero, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2551 E Del Mar Blvd, Pasadena, CA 91107 Phone: 323-823-1211 | |
Kennedy Oluoch Nyahanga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 46 S Lotus Ave, Apt #b, Pasadena, CA 91107 Phone: 252-702-5677 | |
Gregory Scott Wright, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 301 S Fair Oaks Ave, Suite 106, Pasadena, CA 91105 Phone: 818-317-6909 |