Marquee Anesthesia Consultants Inc
NPI 1760942619ActiveOrganization· Nurse Anesthetist, Certified Registered· Redlands, CA
Nurse Anesthetist, Certified Registered in Redlands, California, registered in NPPES in March 2019. The authorized official on file is Justin Roldan, CRNA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760942619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2019 |
| Last updated in NPPES | Dec 23, 2019 |
| Certified by provider | Dec 23, 2019 |
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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