Olusanmi Peters
Olusanmi Peters is a Certified Registered Nurse Anesthetist (CRNA) in Canoga Park, California. Qualified in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 15
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
6939 Alabama Ave Unit 117Canoga Park, CA 91303-2038
Phone: (818) 415-2824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 4083 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 727907 (CA) |
Record details
| NPI number | 1811280084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2011 |
| Last updated in NPPES | November 29, 2021 |
| Certification date | November 29, 2021 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |