| Mr Joseph H Nickerson Iv, CRNA | |
|
255 E Santa Clara St Ste 110, Arcadia, CA 91006-7233 | |
| (626) 294-9003 | |
| Not Available |
| Full Name | Mr Joseph H Nickerson Iv |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | 255 E Santa Clara St Ste 110, Arcadia, 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 |
|---|---|---|---|
| 1770648578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 499960RN (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA2569 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palmdale Regional Medical Center | Palmdale, CA | Hospital |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Glendale Eye Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750580940 PECOS PAC ID: 1153235775 Enrollment ID: O20031118000475 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Entity Name | Orange County Ophthalmology Medical Group. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1194803320 PECOS PAC ID: 8921075599 Enrollment ID: O20120402000537 |
| Entity Name | San Gabriel Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538424908 PECOS PAC ID: 3678720604 Enrollment ID: O20120828000023 |
| Entity Name | Landmark Anesthesia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770035024 PECOS PAC ID: 5698055804 Enrollment ID: O20161206000144 |
| Entity Name | Nickerson Anesthesia & Nursing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003479403 PECOS PAC ID: 0244565877 Enrollment ID: O20190718000703 |
| Entity Name | Palmdale Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205698115 PECOS PAC ID: 4385082734 Enrollment ID: O20240403003660 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph H Nickerson Iv, CRNA Po Box 660257, Birmingham, AL 35266-0257 Ph: (205) 979-5882 | Mr Joseph H Nickerson Iv, CRNA 255 E Santa Clara St Ste 110, Arcadia, CA 91006-7233 Ph: (626) 294-9003 |
Mun Conners Guthmiller, NURSE ANESTHETIST Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 East Santa Clara St, Arcadia, CA 91006 Phone: 702-651-2274 |