| Ms Jacqueline Alexander Clavo, CRNA | |
|
1411 E 31st St, Oakland, CA 94602-1018 | |
| (510) 437-4366 | |
| Not Available |
| Full Name | Ms Jacqueline Alexander Clavo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 38 Years |
| Location | 1411 E 31st St, Oakland, 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 |
|---|---|---|---|
| 1790977312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1308 (California) | Primary |
| 163W00000X | Registered Nurse | 408517 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Howard Memorial | Willits, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willits Hospital Inc | 7416940697 | 55 |
| Entity Name | Willits Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
| Entity Name | Anesthesia Services Of San Joaquin Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline Alexander Clavo, CRNA 800 S Regatta Dr, Vallejo, CA 94591-6945 Ph: (707) 644-4933 | Ms Jacqueline Alexander Clavo, CRNA 1411 E 31st St, Oakland, CA 94602-1018 Ph: (510) 437-4366 |
Diana Hiros, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Annette Chenevey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
David P Birch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Noelle Hennig, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Telegraph Ave, Oakland, CA 94609 Phone: 510-879-9200 | |
Sandra Sue Schmit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Ray Neil Mitsuno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000 | |
Mrs. Polly Van Sant Soler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612 Phone: 510-625-6262 |