| Mr Ricardo S Pineda, CRNA | |
|
900 S Atlantic Blvd, Monterey Park, CA 91754-4716 | |
| (626) 570-9000 | |
| Not Available |
| Full Name | Mr Ricardo S Pineda |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 900 S Atlantic Blvd, Monterey Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306932520 | NPI | - | NPPES |
| 2690280 | Medicaid | OH | |
| 104930929 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN297524 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000502 (California) | Primary |
| 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 | Ecie Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275903783 PECOS PAC ID: 4183926330 Enrollment ID: O20160106000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ricardo S Pineda, CRNA 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1010 | Mr Ricardo S Pineda, CRNA 900 S Atlantic Blvd, Monterey Park, CA 91754-4716 Ph: (626) 570-9000 |
Reena Vasquez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Atlantic Blvd, Monterey Park, CA 91754 Phone: 626-570-9000 | |
Marvin James Lopez Barruga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 850 S Atlantic Blvd Ste 201, Monterey Park, CA 91754 Phone: 909-570-9108 Fax: 909-570-9334 | |
Ms. Idena Davidson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Atlantic Blvd, Monterey Park, CA 91754 Phone: 626-570-9000 Fax: 626-570-5700 | |
Brian William Burney, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 850s Atlantic Blvd 201, Monterey Park, CA 91754 Phone: 626-289-2894 Fax: 951-296-6741 |