Ellen Marie Roth, CRNA - Nurse Anesthetist, Certified Registered in Fontana, CA

Ellen Marie Roth, CRNA is a Nurse Anesthetist, Certified Registered based in Fontana, California. Ellen Marie Roth is licensed to practice in California (license number 436360) and her current practice location is 9961 Sierra Ave, Anesthesia Department, Fontana, California. She can be reached at her office (for appointments etc.) via phone at (909) 427-7162.

NPI number for Ellen Marie Roth is 1093885253 and her current mailing address is 475 E Cypress Ave, Apt. #302, Redlands, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093885253.

Contact Information

Ellen Marie Roth, CRNA
9961 Sierra Ave, Anesthesia Department,
Fontana, CA 92335-6720
(909) 427-7162
Not Available



Provider's Profile

Full NameEllen Marie Roth
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location9961 Sierra Ave, Fontana, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093885253
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ellen Marie Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093885253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 436360 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Marie Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellen Marie Roth, CRNA
475 E Cypress Ave, Apt. #302,
Redlands, CA 92373-6169

Ph: (909) 792-1918
Ellen Marie Roth, CRNA
9961 Sierra Ave, Anesthesia Department,
Fontana, CA 92335-6720

Ph: (909) 427-7162

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› Verified 6 days ago


Nurse Anesthetist, Certified Registered Nurses in Fontana, CA

Kadette Kelly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Kenneth B Lake, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Ronald D Stephens, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Alyssa Wilson,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 000-000-0000    
Hisham Maassarani, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-302-4886    
Edith M Marca-solomon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Heather J Maddox, RN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-5000    

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