| Mr Calvin John Blasco, CRNA | |
|
207 S Santa Anita St, Suite G-16, San Gabriel, CA 91776-1146 | |
| (626) 300-5300 | |
| Not Available |
| Full Name | Mr Calvin John Blasco |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 207 S Santa Anita St, San Gabriel, 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 |
|---|---|---|---|
| 1275078958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000604 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tip Top Anesthesia Group Inc | 0941429872 | 52 |
| Metro Nursing Anesthesia Services Inc | 6800082660 | 2 |
| Entity Name | Allied Anesthesia Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
| Entity Name | Metro Nursing Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093970436 PECOS PAC ID: 6800082660 Enrollment ID: O20101119000410 |
| Entity Name | Amsurg Arcadia Anesthesia Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114291226 PECOS PAC ID: 7214199850 Enrollment ID: O20120427000249 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Calvin John Blasco, CRNA 1720 Ellincourt Dr, 10, South Pasadena, CA 91030-2110 Ph: (760) 880-2854 | Mr Calvin John Blasco, CRNA 207 S Santa Anita St, Suite G-16, San Gabriel, CA 91776-1146 Ph: (626) 300-5300 |
Dustin Griner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 305 Duane Ave, San Gabriel, CA 91775 Phone: 801-367-1929 |