| Mr Jordan David Foster, RN | |
|
127 Romanza Ln, Palm Desert, CA 92211-0777 | |
| (517) 256-3944 | |
| Not Available |
| Full Name | Mr Jordan David Foster |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 127 Romanza Ln, Palm Desert, 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 |
|---|---|---|---|
| 1508503509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28252823A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 138955 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Desert Regional Medical Center | Palm springs, CA | Hospital |
| John F Kennedy Memorial Hospital | Indio, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 124 |
| Aria Anesthesia Group Inc | 6709043946 | 11 |
| Entity Name | Mission Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jordan David Foster, RN 3108 Canterbury Blvd Apt 1, Fort Wayne, IN 46835-3228 Ph: (517) 256-3944 | Mr Jordan David Foster, RN 127 Romanza Ln, Palm Desert, CA 92211-0777 Ph: (517) 256-3944 |
Mrs. Kimberly Agupitan Powers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44139 Monterey Ave Ste B, Palm Desert, CA 92260 Phone: 760-773-4411 |