RAELLE ANESTHESIA INC


Address: 6185 Magnolia Ave Ste 147, Riverside, CA 92506
Phone: 9519779767

RAELLE ANESTHESIA INC (NPI# 1437499266) 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) 1437499266
Entity Type Organization
Organization Name RAELLE ANESTHESIA INC
Practice Address 6185 Magnolia Ave Ste 147
Riverside
CA 92506
Mailing Address 6185 Magnolia Ave Ste 147
Riverside
CA 92506-2524
Practice Telephone 9519779767
Practice Fax Number 9519779768
Mailing Telephone 9513961078
Mailing Fax Number 9515994664
Enumeration Date 2013-02-14
Last Update Date 2020-05-04
Authorized Official Name WAYLAN WYATT KRUSE (CEO)
Authorized Official Telephone 7143360429
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367500000X Nurse Anesthetist, Certified Registered 3956 CA Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 4114 CA Physician Assistants & Advanced Practice Nursing Providers
Y 367500000X Nurse Anesthetist, Certified Registered 3970 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6185 MAGNOLIA AVE STE 147
City RIVERSIDE
State CA
Zip Code 92506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1740756782 Priscilla Marie Rodriguez Social Worker 3742 Tibbets St Suite 201, Riverside, CA 92506 2018-10-17
1922593946 Prevail Health Solutions, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7450 Chateau Ridge Ln, Riverside, CA 92506 2018-06-22
1831691880 Mckinley Children's Center Community/Behavioral Health 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 2018-03-06
1720590946 Leticia Dilworth Behavioral Analyst 3610 Central Ave Ste 46, Riverside, CA 92506 2017-10-27
1548771736 Usa Biosciences LLC Clinical Medical Laboratory 5750 Division St Ste 109, Riverside, CA 92506 2017-10-16
1922542273 Yazmar Sevilla-perez Physical Therapist 6852 Brockton Ave., Suite 212, Riverside, CA 92506 2016-12-06
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1952857542 Kramer and Nguyen Dental Corporation Dentist 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 2016-09-01
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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
1013377555 Steven Frank Goins Nurse Anesthetist, Certified Registered 3575 Gay Way, Riverside, CA 92504-3507 2016-02-25
1578816211 Damian Hodges Nurse Anesthetist, Certified Registered 3423 Elmwood Court, Riverside, CA 92506 2012-10-18
1972888774 Jason Anthony Reddingius Nurse Anesthetist, Certified Registered 16643 Rocky Creek Dr, Riverside, CA 92503-6545 2011-10-13
1518299874 Waylan Kruse Nurse Anesthetist, Certified Registered 3680 Ramona Dr, Riverside, CA 92506-0160 2010-02-11
1316101371 Shannon Rebecca Pfrunder Nurse Anesthetist, Certified Registered 6421 Westview Dr, Riverside, CA 92506-5347 2008-07-17
1598924847 Raydolfo Abaro Aprecio Jr. Nurse Anesthetist, Certified Registered 292 Chickadee Cir, Riverside, CA 92507-1223 2008-06-02
1861597346 David Olszewski Nurse Anesthetist, Certified Registered 42 Hemingway Dr, Riverside, RI 02915-2224 2006-09-13
1942808811 Nelson Javier Maravilla Nurse Anesthetist, Certified Registered 4445 Magnolia Ave, Riverside, CA 92501-4135 2020-10-13
1578179677 Dallas Mckinley Bessette Nurse Anesthetist, Certified Registered 4445 Magnolia Ave, Riverside, CA 92501-4199 2020-09-23
1336761519 Alexandra May Bock Nurse Anesthetist, Certified Registered 4445 Magnolia Ave, Riverside, CA 92501-4199 2020-05-11
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City RIVERSIDE
Zip Code 92506

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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.

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