Gayne Marie Brenneman-slay (NPI# 1093892747, PAC ID# 0749224525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1093892747 |
| PAC ID by PECOS | 0749224525 |
| Professional Enrollment ID | I20050613000984 |
| Full Name | Gayne Marie Brenneman-slay |
| Organization Legal Name | NEW LINE ANESTHESIA SERVICES INC |
| Address |
1300 W 7th St Providence Little Company of Mary Medica San Pedro CA 90732-3505 |
| Phone Number | 3108323311 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1981 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0345471900 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050063 | HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2134133000 | HP ANESTHESIA INC |
| 514 N Prospect Ave, Suite 100, Redondo Beach, CA 90277-3036 | 3103762707 | AMBULATORY ANESTHESIA ASSOCIATES INC |
| 1300 W 7th St, Providence Little Company of Mary Medica, San Pedro, CA 90732-3505 | 3108323311 | NEW LINE ANESTHESIA SERVICES INC |
| Organization Legal Name | NEW LINE ANESTHESIA SERVICES INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Manoochehrian | Anesthesiology | New Line Anesthesia Services Inc | 1300 W 7th St, Providence Little Company of Mary Medica, San Pedro, CA 90732-3505 |
| Rajah P Gunawardana | Anesthesiology | New Line Anesthesia Services Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Joel D Groden | Anesthesiology | New Line Anesthesia Services Inc | 1300 W 7th St, Providence Little Company of Mary Medica, San Pedro, CA 90732-3505 |
| Sushmita Santhosh | Anesthesiology | New Line Anesthesia Services Inc | 1300 W 7th St, Providence Little Company of Mary Medica, San Pedro, CA 90732-3505 |
| David W Lassen | Certified Registered Nurse Anesthetist (crna) | New Line Anesthesia Services Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Nisheeth Verma | Anesthesiology | New Line Anesthesia Services Inc | 13100 Studebaker Rd, Norwalk, CA 90650-2531 |
| Vesna A Temelkovska | Anesthesiology | New Line Anesthesia Services Inc | 1300 W 7th St, Providence Little Company of Mary Medica, San Pedro, CA 90732-3505 |
| Street Address |
1300 W 7TH ST PROVIDENCE LITTLE COMPANY OF MARY MEDICA |
| City | SAN PEDRO |
| State | CA |
| Zip | 90732-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neel Shah | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Israel J Hernandez-arce | Internal Medicine | Providence Medical Institute | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Steven Kwon | Internal Medicine | Providence Medical Institute | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Mehdi Hemmat | Obstetrics/gynecology | Providence Medical Institute | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Alex D Doo | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Aja Castillo | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Bryce K Fukunaga | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Mary A Costa | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Marina N Estrada | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Jaskaran S Dhingsa | Family Medicine | Providence Medical Institute | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Santana | Chiropractic | 28122 S Western Ave, San Pedro, CA 90732-1248 | |
| Lawrence Marshall | Optometry | 28142 S Western Ave, San Pedro, CA 90732-1248 | |
| Lawrence B Greenberg | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Keri Sharona Hyatt Wardwell | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Crescenzo Pisano | Internal Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Patricio Clavecillas | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Olga M Calof | Endocrinology | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Terry T Ishihara | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Aeree Yoon | Internal Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Andres Jimenez | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Find all physicians in zip 90732 | |||
| City | SAN PEDRO |
| Zip Code | 90732 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SAN PEDRO + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Gayne Marie Brenneman-slay.
| 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.