Akinlosotu Nursing Anesthesia Inc
Organization Active NPI Certified Registered Nurse Anesthetist · Fortuna, CA
NPI 1780374975 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1780374975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- AKINLOSOTU NURSING ANESTHESIA INC
- Practice address
- 3300 Renner Dr
Fortuna, CA 95540-3120 - Phone
- (608) 354-3559
- NPI assigned
- May 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Deji Akinlosotu, CRNA
- Title
- Owner
- Phone
- (608) 354-3559
Practitioners 1
-
Deji Akinlosotu, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230828001896 | CA | Part B Supplier - Clinic/Group Practice | 6608239447 |
Receives reassigned benefits from 1 practitioner Practice locations: Fortuna, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
3300 Renner Dr
Fortuna, CA 95540-3120
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
Other providers in Fortuna, CA
- Abundant Living Enterprises Dba Eo Electrolysis
- Agape Doula Services LLC
- Adalizette Aguilar
- Deji Akinlosotu
- Alan E. French
- Lauretta Allen
- Barbara Nettles Anderson
- James McCall Anderson
All providers in Fortuna, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.