| Phyllis Kantor, CRNA | |
|
300 Pasteur Dr, Stanford, CA 94305-2200 | |
| (650) 723-4000 | |
| Not Available |
| Full Name | Phyllis Kantor |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 300 Pasteur Dr, Stanford, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730232372 | NPI | - | NPPES |
| RN4056160 | Other | CA | MEDICAL |
| 1730232372 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1080 (California) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA800100 (Nevada) | Secondary |
| Entity Name | Foothill Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285695650 PECOS PAC ID: 9436062536 Enrollment ID: O20031105000832 |
| Entity Name | Omni Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720038839 PECOS PAC ID: 4385638303 Enrollment ID: O20040413000584 |
| Entity Name | Md Solutions Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902837735 PECOS PAC ID: 1759379993 Enrollment ID: O20040505000671 |
| Entity Name | Mission Hills Pain Management Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235374372 PECOS PAC ID: 4284783853 Enrollment ID: O20090601000546 |
| Entity Name | Advanced Anesthesia Specialists A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871733600 PECOS PAC ID: 0042340705 Enrollment ID: O20100608000088 |
| Entity Name | Westside Anesthesia Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528381704 PECOS PAC ID: 2860684248 Enrollment ID: O20101004000677 |
| Entity Name | Aepc Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477846673 PECOS PAC ID: 3476708330 Enrollment ID: O20130226000021 |
| Entity Name | Anesthesia On Demand - A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003485384 PECOS PAC ID: 1850780206 Enrollment ID: O20211105001178 |
| Entity Name | Credence Anesthesia Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881381002 PECOS PAC ID: 9133586639 Enrollment ID: O20230526001011 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Kantor, CRNA 1804 Embarcadero Rd, Palo Alto, CA 94303-3341 Ph: (650) 723-4000 | Phyllis Kantor, CRNA 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Kevin Matoke Ogutu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Kana Watanabe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-3333 | |
Anthony Trejo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Ray Roazol, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Kristy Autumn Nathan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Kevin Lok, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Martin Thanh Nguyen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |