Alexandra Tolentino Omandam

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA95001690 Issued in CA

Practice address

5882 W Millbrae Ave
Fresno, CA 93722-8815

Phone

(559) 916-8514

NPI assigned

Jun 28, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants of FresnoGroup PAC ID 8527967082, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Consultants of Fresno

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1124058177
  Medicare reassignment Care Compare group
• Amsurg Clovis Ca Anesthesia LP

  • Certified Registered Nurse Anesthetist
  • Clovis, CA
  • NPI 1710731773

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Amsurg Fresno Ca Anesthesia LP

  • Anesthesiology Physician
  • Fresno, CA
  • NPI 1104246065
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1558931022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 W MILLBRAE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 W MILLBRAE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228815",
            "telephone_number": "559-916-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMANDAM",
        "first_name": "ALEXANDRA",
        "middle_name": "TOLENTINO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "95028885",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Olson, MA, CCC-SLP
• Melissa Olson
• Michelle Therese Olson, PSYD
• Sunday Osho Olusegun, LVN
• Norma Angelica Olvera
• Stacy Moraa Ombogo
• Kierra Marie Omeara
• Omega Mental Health
• Omid Counseling Center, Inc.
• Arman Omid

• Certified Registered Nurse Anesthetist in Fresno, CA
• Providers in Fresno, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.