Individual
DENNIS DAN CARBALLO SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 751-4295
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
808011
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
95000333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2338056
—
LA
05
—
295076801
—
TX
05
—
295076802
—
TX
01
—
8801UC
BLUE CROSS BLUE SHIELD
TX
01
—
P01095297
RAILROAD MEDICARE
TX
Enumeration date
01/04/2012
Last updated
02/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us