Jenny Idicula
Certified Registered Nurse Anesthetist (Crna) (CMS) · San Diego, CA
At a glance
200 W Arbor Dr, San Diego, CA 92103-9000
NPPES record updated Jun 12, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
200 W Arbor DrSan Diego, CA 92103-9000
Additional reported practice locations
84 Campus DrScarborough, ME 040747133
Phone: 2073967000 25 June St
Sanford, ME 040732621
Phone: 2074907450
Fax: 2074907452 1 Medical Center Dr
Biddeford, ME 040059422
Phone: 2072837042
Fax: 2072837047 22 Bramhall St
Portland, ME 041023134
Phone: 2076622526
Fax: 2076626236 6655 Alvarado Rd
San Diego, CA 921205208
Phone: 8009268273
Fax: 8885398781 9300 Campus Point Dr
La Jolla, CA 920371300
Phone: 8009268273
Fax: 8885398781 3705 Medical Pkwy Ste 570
Austin, TX 787051024
Phone: 5124542554
Education & affiliations
- Medical / professional school
- R Franklin University Of Med & Sci/Chicago Medical School
- Graduation year
- 2021
- CMS specialties
- Certified Registered Nurse Anesthetist (Crna)
Practice groups
Reported hospital affiliations
- Mainehealth Maine Medical Center Portland, ME
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Certified Registered Nurse Anesthetist (Crna) (CMS)
- Taxonomy code
- 367500000X
- Enumeration date
- Mar 28, 2021
- Record updated
- Jun 12, 2026
More registry details
- Provider type
- Individual · Type 1
Reported taxonomies and licenses
367500000X
License reported: 1052820 TX
163W00000X
License reported: 860986 TX
367500000X
License reported: RNA253034 ME
367500000X · Primary
License reported: 95002777 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
200 W Arbor DrSan Diego, CA 92103-9000
- Phone
- (800) 926-8273
- Fax
- (888) 539-8781
Mailing address
FILE 57326LOS ANGELES, CA 900747326
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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