Individual provider · Type 1 NPI

Jenny Idicula

Certified Registered Nurse Anesthetist · San Diego, CA

NPI number 1083291637 Active

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Call (800) 926-8273 Map

Fax (888) 539-8781

Mailing address

File 57326
Los Angeles, CA 90074-7326

Other practice locations

  • 84 Campus Dr, Scarborough, ME 04074-7133 · (207) 396-7000
  • 25 June St, Sanford, ME 04073-2621 · (207) 490-7450
  • 1 Medical Center Dr, Biddeford, ME 04005-9422 · (207) 283-7042
  • 22 Bramhall St, Portland, ME 04102-3134 · (207) 662-2526
  • 6655 Alvarado Rd, San Diego, CA 92120-5208 · (800) 926-8273
  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 · (800) 926-8273
  • 3705 Medical Pkwy Ste 570, Austin, TX 78705-1024 · (512) 454-2554

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X1052820 (TX)
Registered Nurse 163W00000X860986 (TX)
Certified Registered Nurse Anesthetist 367500000XRNA253034 (ME)
Certified Registered Nurse Anesthetist Primary 367500000X95002777 (CA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1083291637

Jenny Idicula's National Provider Identifier is 1083291637, issued on Mar 28, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in San Diego, CA. The record was last updated on Jun 12, 2026.