| Reve Brander, CRNA | |
|
13916 La Maida St, Sherman Oaks, CA 91423-1907 | |
| (631) 339-5015 | |
| Not Available |
| Full Name | Reve Brander |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 13916 La Maida St, Sherman Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275190258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 687781-1 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA95001235 (California) | Primary |
| Entity Name | Allied Anesthesia Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
| Entity Name | Precision Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205253929 PECOS PAC ID: 6204145105 Enrollment ID: O20151015001459 |
| Entity Name | Sunset Anesthesia Group A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932891678 PECOS PAC ID: 2769842293 Enrollment ID: O20230717000380 |
| Entity Name | Quality Medical Management Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114502606 PECOS PAC ID: 5799193074 Enrollment ID: O20240829003308 |
| Mailing Address | Practice Location Address |
|---|---|
| Reve Brander, CRNA 13916 La Maida St, Sherman Oaks, CA 91423-1907 Ph: (631) 339-5015 | Reve Brander, CRNA 13916 La Maida St, Sherman Oaks, CA 91423-1907 Ph: (631) 339-5015 |
Morgan Mcleroy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403 Phone: 818-981-7111 | |
Alia Shirzad, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14414 Addison St Unit 25, Sherman Oaks, CA 91423 Phone: 310-699-8099 Fax: 888-906-3136 |