| Ms Idena Davidson, CRNA | |
|
900 S Atlantic Blvd, Monterey Park, CA 91754-4716 | |
| (626) 570-9000 | |
| (626) 570-5700 |
| Full Name | Ms Idena Davidson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 900 S Atlantic Blvd, Monterey Park, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699834168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN056988 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sherman Oaks Hospital | Sherman oaks, CA | Hospital |
| Encino Hospital Medical Center | Encino, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tip Top Anesthesia Group Inc | 0941429872 | 52 |
| California Anesthesia Group Pc | 6608108840 | 2 |
| 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 |
| Entity Name | California Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477114742 PECOS PAC ID: 6608108840 Enrollment ID: O20191021003484 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Idena Davidson, CRNA 210 N Tustin Ave, Santa Ana, CA 92705-3807 Ph: (714) 347-1053 | Ms Idena Davidson, CRNA 900 S Atlantic Blvd, Monterey Park, CA 91754-4716 Ph: (626) 570-9000 |
Mr. Ricardo S Pineda, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 S Atlantic Blvd, Monterey Park, CA 91754 Phone: 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 | |
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 |