| Ray Neil Mitsuno, CRNA | |
|
3600 Broadway, Oakland, CA 94611-5730 | |
| (510) 752-1000 | |
| Not Available |
| Full Name | Ray Neil Mitsuno |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 3600 Broadway, Oakland, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083113294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000867 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Neil Mitsuno, CRNA 225 Pomona Ave, El Cerrito, CA 94530-4138 Ph: (510) 508-3091 | Ray Neil Mitsuno, CRNA 3600 Broadway, Oakland, CA 94611-5730 Ph: (510) 752-1000 |
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 | |
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 |