| Susanna Smith, | |
|
3460 E La Palma Ave, Anaheim, CA 92806-2020 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Susanna Smith |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 3460 E La Palma Ave, Anaheim, 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 |
|---|---|---|---|
| 1982386249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95075019 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna Smith, 30 Santa Monica St, Aliso Viejo, CA 92656-1304 Ph: Not Available | Susanna Smith, 3460 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (833) 574-2273 |
Femila Biju Joseph, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 303 N East St, Anaheim, CA 92805 Phone: 714-491-1771 |
Bongsun Shin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2648 W Ball Rd Apt 154, Anaheim, CA 92804 Phone: 213-292-3137 |
Khaled Alomari, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Po Box 6233, Anaheim, CA 92816 Phone: 315-515-9127 |
Ms. Terry York, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1900 E La Palma Ave Ste 101, Anaheim, CA 92805 Phone: 714-399-3480 Fax: 714-399-3481 |
Theresa Marie Okamoto, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 501 N Crescent Way, Anaheim, CA 92801 Phone: 714-412-9921 Fax: 714-999-6531 |
Jury Oclarit Ronquillo, FNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1085 N Harbor Blvd, Anaheim, CA 92801 Phone: 714-774-7777 Fax: 714-399-4135 |
Armi Rizalyn Francisco Kato, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1025 S Anaheim Blvd, Anaheim, CA 92805 Phone: 714-533-6220 |