| Mikhail Nizamov, | |
|
1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | |
| (760) 323-6511 | |
| Not Available |
| Full Name | Mikhail Nizamov |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 1150 N Indian Canyon Dr, Palm Springs, 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 |
|---|---|---|---|
| 1669863809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000245 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Jolla Anesthesia Associates, Lp | 3678850567 | 4 |
| Entity Name | Palm Springs Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083928501 PECOS PAC ID: 6406049592 Enrollment ID: O20101021000600 |
| Entity Name | First Choice Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
| Entity Name | Comfort Endoscopy Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373028 PECOS PAC ID: 0446475784 Enrollment ID: O20140701000222 |
| Entity Name | La Jolla Anesthesia Associates, Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649717737 PECOS PAC ID: 3678850567 Enrollment ID: O20170502001302 |
| Entity Name | Escondido Anesthesia Associates Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588151120 PECOS PAC ID: 5799034518 Enrollment ID: O20180827003365 |
| Entity Name | Trinity Anesthesia Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861078693 PECOS PAC ID: 3870901929 Enrollment ID: O20210409001631 |
| Entity Name | Zachary C Cohen Md Apc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689334468 PECOS PAC ID: 6608260179 Enrollment ID: O20220225001761 |
| Entity Name | Sound Physicians Anesthesiology Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699408229 PECOS PAC ID: 4385027770 Enrollment ID: O20220817003296 |
| Entity Name | Coastal A S C Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1326702457 PECOS PAC ID: 7517333875 Enrollment ID: O20221012001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikhail Nizamov, 10 Commerce Dr, New Rochelle, NY 10801-5253 Ph: () - | Mikhail Nizamov, 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 Ph: (760) 323-6511 |
Ms. Kelsey Marie Dobes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6511 | |
Alyssa Long, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6511 | |
Carissa-ann Joaquin Riparip, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6511 | |
Lauren C Walsh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6511 | |
Jesus Ernesto Varela, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6511 | |
Stephanie L. Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6511 | |
Jennifer Laurin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 291 Calle Tranquillo, Palm Springs, CA 92262 Phone: 818-442-3466 |