MEDICARE: ALEXEI SPOONDE CRNA

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	367500000X	Certified Registered Nurse Anesthetist	NA95002789	CA
2	367500000X	Certified Registered Nurse Anesthetist	57840	NM

General Provider Information

NPI Number	:	1619511722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXEI SPOONDE CRNA

Provider Business Mailing Address
First Line	:	908 RIO VISTA ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-1552
Country	:	US
Telephone Number	:	215-450-3964
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 PARNASSUS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2206
Country	:	US
Telephone Number	:	415-883-0944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	01/06/2026

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Directions to “ ALEXEI SPOONDE CRNA” Practice Location

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