| Mr Thomas Sitchon Vital, | |
|
250 Hospital Pkwy, San Jose, CA 95119-1103 | |
| (408) 972-7133 | |
| Not Available |
| Full Name | Mr Thomas Sitchon Vital |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 250 Hospital Pkwy, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437214467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 514147 (California) | Primary |
| Entity Name | Monterey Bay Gi Consultants Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154373280 PECOS PAC ID: 1153387386 Enrollment ID: O20041208000983 |
| Entity Name | Monterey Anesthesia Professionals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073935250 PECOS PAC ID: 6002047164 Enrollment ID: O20140402002486 |
| Entity Name | Vital Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396492963 PECOS PAC ID: 3870980501 Enrollment ID: O20220428000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Sitchon Vital, 903 Baines St, East Palo Alto, CA 94303-2525 Ph: (650) 321-7154 | Mr Thomas Sitchon Vital, 250 Hospital Pkwy, San Jose, CA 95119-1103 Ph: (408) 972-7133 |
Tiassa Lena Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000 | |
Mrs. Melinda K Moye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-793-6515 Fax: 408-885-7307 | |
Lindsay Bradley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000 | |
Mary A Carlisle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6320 | |
Sonanika Chouhan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000 | |
Anna Leonidovna Bibergal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Angela Marie Sperry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-885-5745 |