M Dajdumrongwood Anesthesia A Professional Nursing Corp
NPI 1134904493ActiveOrganization· Nurse Anesthetist, Certified Registered· Van Nuys, CA
Nurse Anesthetist, Certified Registered in Van Nuys, California, registered in NPPES in August 2023. The authorized official on file is Michelle Dajdumrongwood, CRNA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134904493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2023 |
| Last updated in NPPES | May 21, 2025 |
| Certified by provider | May 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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