Idena Davidson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN056988 Issued in LA

Practice address

900 S Atlantic Blvd
Monterey Park, CA 91754-4716

Phone

(626) 570-9000

Fax

(626) 570-5700

NPI assigned

Dec 8, 2006

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tip Top Anesthesia Group IncGroup PAC ID 0941429872, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
• Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tip Top Anesthesia Group Inc

  • Licensed Practical Nurse
  • Beverly Hills, CA
  • NPI 1508283698
  Medicare reassignment Care Compare group NPD
• California Anesthesia Group PC

  • Anesthesiology Physician
  • Fullerton, CA
  • NPI 1477114742

  Nurse Anesthetist, Certified Registered

  NPD
• First Anesthesia Associates Inc

  dba Florida Pain Center of Naples

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1619928512
  NPD (past)
• Guardian Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Folsom, LA
  • NPI 1275563108

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Naples Endoscopy Anesthesia LLC

  dba Naples Anesthesia

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1306895255

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Southwest Florida Anesthesia Plus

  dba SW Florida Anesthesia Plus

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1154370013

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Prime Healthcare Services - Sherman Oaks, LLC

  dba Sherman Oaks Hospital

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation
• Woman's Hospital Foundation

  dba Woman's Hospital

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1912943184
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1699834168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1053",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ATLANTIC BLVD",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544716",
            "telephone_number": "626-570-9000",
            "fax_number": "626-570-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Manitou Springs",
            "state": "CO",
            "postal_code": "808292034",
            "country_code": "US",
            "telephone_number": "225-803-8682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "IDENA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN056988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dedicated Hospitalist Services, Inc.

• Certified Registered Nurse Anesthetist in Monterey Park, CA
• Providers in Monterey Park, 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 Sep 6, 2018; 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.