MIRANDA G IDEAL


Address: 2101 N Waterman Ave, San Bernardino, CA 92404-4836
Phone: 9098838711

MIRANDA G IDEAL (NPI# 1003378944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003378944
Entity Type Individual
Full Name MIRANDA G IDEAL
Credential CRNA
Practice Address 2101 N Waterman Ave
San Bernardino
CA 92404-4836
Mailing Address 127 Soco Dr
Fullerton
CA 92832-2474
Practice Telephone 9098838711
Enumeration Date 2019-04-01
Last Update Date 2019-12-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 845670 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NBCRNA 125598 01

Office Location

Street Address 2101 N WATERMAN AVE
City SAN BERNARDINO
State CA
Zip Code 92404-4836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992797153 Young A Suk Anesthesiology 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2005-08-15
1467077016 Melissa Magdangal Occupational Therapist 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2020-06-10
1902433303 Ariel Chen Physician Assistant 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2020-03-25
1417581059 Western Acute Care Surgeons Inc Surgery 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2020-02-22
1538704234 Michelle Dela Cruz Villanueva Occupational Therapist 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-11-17
1750943668 Benjamin Arthur Rinard Physician Assistant 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-07-01
1679132955 Louis Gallo Physician Assistant 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-06-10
1154984706 Antonio Moreno Anesthesiology 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-04-18
1225599780 Kylie Brenna Leeper Dietitian, Registered 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-03-27
1720549504 Gavin Mcmullen Nurse Anesthetist, Certified Registered 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-03-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740849363 Danniella Alexandra Murillo Physician Assistant 2101 North Waterman Ave, San Bernardino, CA 92404 2019-06-07
1902377484 Shauntel Renee Nelson Student in an Organized Health Care Education/Training Program 1481 N. Windsor Dr., San Bernardino, CA 92404 2018-12-10
1487123584 Garrett M Grigg Licensed Psychiatric Technician 1481 N Windsor Dr, San Bernardino, CA 92404 2018-11-19
1881163434 James Dean Anders Counselor 1481 Windsor Drive, San Bernardino, CA 92404 2018-11-13
1043703564 Samantha Makpaiboonvatana Optometrist 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 2018-06-09
1861981623 Christopher Windham Behavior Technician 2460 Fremontia Dr, San Bernardino, CA 92404 2018-05-08
1891145041 Cynthia Lusy Gastelum Marriage & Family Therapist 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 2016-06-20
1336598259 Foundation Enterprises LLC Non-emergency Medical Transport (VAN) 1663 Date Pl., #30390, San Bernardino, CA 92404 2016-06-10
1881042877 Helen Ann Thompson Speech-Language Pathologist 1311 E. State St., San Bernardo, CA 92404 2016-05-31
1366839938 Lanecia Richardson Counselor 135 Paul Drive, San Rafeal, CA 92404 2015-04-22
Find all providers in zip 92404

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720549504 Gavin Mcmullen Nurse Anesthetist, Certified Registered 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-03-26
1568934818 Andrew Steven Lim Nurse Anesthetist, Certified Registered 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2018-12-27
1285128694 Christina Maria Picar Canio Nurse Anesthetist, Certified Registered 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2018-06-19
1083128839 Southland Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered 1805 Medical Center Dr, San Bernardino, CA 92411-1217 2017-11-30
1699866459 Louise Harrell Nurse Anesthetist, Certified Registered 165 W Hospitality Ln, Suite 1, San Bernardino, CA 92408-3334 2006-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720687395 Anesthesia First, Inc Nurse Anesthetist, Certified Registered 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 2020-10-23
1659970580 Twilight Nursing Anesthesia Services Inc Nurse Anesthetist, Certified Registered 1247 W Bloomwood Rd, Rancho Palos Verdes, CA 90275-1937 2020-10-21
1881201432 Edc Anesthesia Nursing PC Nurse Anesthetist, Certified Registered 72301 Country Club Drive, Suite 101, Rancho Mirage, CA 92270-8007 2020-09-28
1720697501 Elizabeth Diane Doty Nurse Anesthetist, Certified Registered 235 N Conejo School Rd Apt 116, Thousand Oaks, CA 91362-2676 2020-07-28
1447868013 Matthew Shirts Nurse Anesthetist, Certified Registered 6713 E Princeton Ave, Fresno, CA 93727-1441 2020-07-20
1730797705 Ryan James Tobin Nurse Anesthetist, Certified Registered 1786 El Paso Ave, Clovis, CA 93611-6601 2020-07-16
1922626167 Ileana Lopez Nurse Anesthetist, Certified Registered 388 E Ocean Blvd Unit 702, Long Beach, CA 90802-5264 2020-07-13
1154946085 Brianna Koty Nurse Anesthetist, Certified Registered 1611 Greenwood Ave, Torrance, CA 90503-6134 2020-06-16
1962025973 Franesei Crna A Nursing Corporation Inc Nurse Anesthetist, Certified Registered 2601 W Alameda Ave Ste 312, Burbank, CA 91505-4812 2020-05-26
1144858028 Dennis Casanova Colon Nurse Anesthetist, Certified Registered 547 E Weldon Ave, Fresno, CA 93704-6031 2020-03-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAN BERNARDINO
Zip Code 92404

Improve Information

Please comment or provide details below to improve the information on MIRANDA G IDEAL.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches