Jessica Ann Martin (NPI# 1528327467, PAC ID# 1759547367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1528327467 |
| PAC ID by PECOS | 1759547367 |
| Professional Enrollment ID | I20180709000510 |
| Full Name | Jessica Ann Martin |
| Organization Legal Name | ST. VINCENT ANESTHESIA MEDICAL GROUP, INC. |
| Address |
15107 Vanowen St Van Nuys CA 91405-4542 |
| Phone Number | 8187826600 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 1759327554 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050126 | VALLEY PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15107 Vanowen St, Van Nuys, CA 91405-4542 | 8187826600 | ST. VINCENT ANESTHESIA MEDICAL GROUP, INC. |
| Organization Legal Name | ST. VINCENT ANESTHESIA MEDICAL GROUP, INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benilda R Deasis | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 555 S 7th Ave, Barstow, CA 92311-3043 |
| Austin B Harris | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Juan R Galido Jr. | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Mary Beth V Bewersdorf | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Steve S Im | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 10904 Reagan St, Los Alamitos, CA 90720-2435 |
| Katrina F Riboni | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 3700 E S St, Lakewood, CA 90805-4521 |
| Mark D Migdal | Anesthesiology | St. Vincent Anesthesia Medical Group, Inc. | 2131 W 3rd St, Los Angeles, CA 90057-1901 |
| Street Address |
15107 VANOWEN ST |
| City | VAN NUYS |
| State | CA |
| Zip | 91405-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farzin Tayefeh | Anesthesiology | St. Vincent Anesthesia Medical Group Inc | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Klar Pasilaban | Nurse Practitioner | Valley Presbyterian Emergency Medical Associates | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Nicholas A Borm | Emergency Medicine | Valley Presbyterian Emergency Medical Associates | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Walid Salahi | Pathology | Marvin I Retsky M.d and Dennis Kasimian M.d A Professional Corporation | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Chenduen Hwang | Pathology | Marvin I Retsky M.d and Dennis Kasimian M.d A Professional Corporation | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Michael H Merjanian | Emergency Medicine | Valley Presbyterian Emergency Medical Associates | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Julian B Stanley | Emergency Medicine | Valley Presbyterian Emergency Medical Associates | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Brian Ostick | Emergency Medicine | Valley Presbyterian Emergency Medical Associates | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Apostolos A Lekkos | Emergency Medicine | Valley Presbyterian Emergency Medical Associates | 15107 Vanowen St, Van Nuys, CA 91405-4542 |
| Liva Y Gritton | Physical Medicine and Rehabilitation | 15107 Vanowen St, Van Nuys, CA 91405-4542 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara M Richardson | Psychologist, Clinical | Memory Check Psychological Services, A Professional Corporation | 7447 Sepulveda Blvd, Van Nuys, CA 91405-1631 |
| Tulip Mitchell | Clinical Psychologist | Memory Check Psychological Services, A Professional Corporation | 7447 Sepulveda Blvd, Van Nuys, CA 91405-1631 |
| Sion Nobel | Internal Medicine | 7324 Sepulveda Blvd, Suite B, Van Nuys, CA 91405-1751 | |
| Kristin Masukawa | Family Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Joseph W Zaky | Internal Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Daniel V Vigil | Family Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Nina J Park | Internal Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Anita Wong | Family Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Jacqueline R Cope | Family Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Arthur Ohannessian | Family Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Find all physicians in zip 91405 | |||
| City | VAN NUYS |
| Zip Code | 91405 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | VAN NUYS + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.