Healthcare Provider Details

I. General information

NPI: 1619511722
Provider Name (Legal Business Name): ALEXEI SPOONDE CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALEX SPOONDE

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

908 RIO VISTA ST
SANTA FE NM
87501-1552
US

V. Phone/Fax

Practice location:
  • Phone: 415-883-0944
  • Fax:
Mailing address:
  • Phone: 215-450-3964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNA95002789
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number57840
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: