MEDICARE: THREE ANGELS ANESTHESIA NURSING SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	486290	CA
2	367500000X	Certified Registered Nurse Anesthetist	1948	CA

General Provider Information

NPI Number	:	1881036606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE ANGELS ANESTHESIA NURSING SERVICES INC.

Provider Business Mailing Address
First Line	:	PO BOX 34120
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89533-4120
Country	:	US
Telephone Number	:	775-747-5050
Fax Number	:	775-747-5005

Provider Business Practice Location Address
First Line	:	66 BOVET RD
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94402-3125
Country	:	US
Telephone Number	:	650-570-6066
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DIANE MARIE WASHINGTON
Credential	:	CRNA
Telephone Number	:	408-270-6378

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	07/22/2013

Similar Medicare Providers

1598848632 — SAN MATEO SURGERY CENTER
Practice Location Address:

66 BOVET RD , SUITE 101-103
SAN MATEO, CA
94402-3125

Practice Phone: 650-570-0529
Practice Fax: 650-570-0500

1619027273 — DR. ROBERT DAVID RIDEAU DDS
Practice Location Address:

66 BOVET RD , SUITE 105
SAN MATEO, CA
94402-3125

Practice Phone: 650-627-8191
Practice Fax: 650-627-8192

1215073572 — JOANNE FRANCES JACOBSON MD
Practice Location Address:

66 BOVET RD , STE 103
SAN MATEO, CA
94402-3125

Practice Phone: 650-570-0500
Practice Fax:

1992822522 — DR. ROBERT BRINK M.D.
Practice Location Address:

66 BOVET RD , SUTIE 103
SAN MATEO, CA
94402-3125

Practice Phone: 650-570-0529
Practice Fax:

1750553376 — SAN MATEO SURGERY CENTER LLC
Practice Location Address:

66 BOVET RD , SUITE 103
SAN MATEO, CA
94402-3125

Practice Phone: 650-570-0529
Practice Fax:

1407129851 — BAY AREA REPRODUCTIVE HEALTHCARE PC
Practice Location Address:

66 BOVET RD , SUITE 101
SAN MATEO, CA
94402-3125

Practice Phone: 650-570-6066
Practice Fax: 650-570-6042

Directions to “THREE ANGELS ANESTHESIA NURSING SERVICES INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.