Nathan Tyler Kudrick (NPI# 1306887757, PAC ID# 5294739694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1306887757 |
| PAC ID by PECOS | 5294739694 |
| Professional Enrollment ID | I20060825000421 |
| Full Name | Nathan Tyler Kudrick |
| Organization Legal Name | ALLIED ANESTHESIA MEDICAL GROUP INC |
| Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3809 |
| Phone Number | 7148713280 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC |
| Graduation Year | 2002 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 6103728407 |
| Number of Group Practice Members | 131 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1124 S Main St, Suite 101, Corona, CA 92882-4449 | 9517376363 | ALLIED ANESTHESIA MEDICAL GROUP INC |
| 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 7148713280 | ALLIED ANESTHESIA MEDICAL GROUP INC |
| Organization Legal Name | ALLIED ANESTHESIA MEDICAL GROUP INC |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan C Tang | Anesthesiology | Allied Anesthesia Medical Group Inc | 255 E Bonita Ave, Suite 3b, Pomona, CA 91767-1923 |
| Ian Chait | Anesthesiology | Allied Anesthesia Medical Group Inc | 455 S Main St, Orange, CA 92856-0628 |
| Roger Y Arakaki | Anesthesiology | Allied Anesthesia Medical Group Inc | 16250 Sand Canyon Ave, Irvine, CA 92618-3714 |
| Vivian J Tanaka | Anesthesiology | Allied Anesthesia Medical Group Inc | 17 Corporate Plaza Dr, Suite 120, Newport Beach, CA 92660-7984 |
| John B Maccarthy | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Francis M Sweeny | Anesthesiology | Allied Anesthesia Medical Group Inc | 1100 W Stewart Dr, Orange, CA 92868-3849 |
| Randhir Kaboo | Anesthesiology | Allied Anesthesia Medical Group Inc | 999 San Bernardino Rd, Upland, CA 91786-4920 |
| Peter H Cheng | Anesthesiology | Allied Anesthesia Medical Group Inc | 999 San Bernardino Rd, Upland, CA 91786-4920 |
| Claudia P. Moreno | Anesthesiology | Allied Anesthesia Medical Group Inc | 1100 W Stewart Dr, Orange, CA 92868-3849 |
| Da Wang | Anesthesiology | Allied Anesthesia Medical Group Inc | 455 S Main St, Orange, CA 92856-0628 |
| Street Address |
101 E VALENCIA MESA DR |
| City | FULLERTON |
| State | CA |
| Zip | 92835-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiho Woo | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Pius Jin Kim | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Hao Q Ngo | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| John B Maccarthy | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Soheil Nafeei | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Brian D Fong | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Jae K Kim | Internal Medicine | St Joseph Heritage Healthcare | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3875 |
| Jim Nguyen | Anesthesiology | Allied Anesthesia Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Phillip Unger | Diagnostic Radiology | St Jude Radiology Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 |
| Scott A Wang | Emergency Medicine | St Jude Emergency Medical Group Inc | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Dedes | Interventional Pain Management | 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 | |
| Alvaro O Liceaga | Interventional Pain Management | 295 Imperial Hwy 100, Fullerton, CA 92835-1020 | |
| Sara Said | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Stella R Vargas | Physical Therapy | 373 Imperial Hwy, Fullerton, CA 92835-1040 | |
| Johnson L Moon | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Priscilla P Armstrong | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Margaret M Slaven | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Manpreet Kaur Multani | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Eileen S Kang | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Kiran Bath | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Find all physicians in zip 92835 | |||
| City | FULLERTON |
| Zip Code | 92835 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | FULLERTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Nathan Tyler Kudrick.
| 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.