| Amin Shabbir Azam, CRNA | |
|
3600 Broadway, Oakland, CA 94611-5730 | |
| (510) 752-1000 | |
| Not Available |
| Full Name | Amin Shabbir Azam |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 3600 Broadway, Oakland, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255808929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 118708 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amsurg Oakland Anesthesia Lp | 8224292123 | 10 |
| Scq Anesthesia A Professional Nursing Corporation | 9436520814 | 14 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Premier Anesthesia Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
| Entity Name | Amsurg Oakland Anesthesia Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679847727 PECOS PAC ID: 8224292123 Enrollment ID: O20120605000461 |
| Entity Name | Uap Sacramento, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245644863 PECOS PAC ID: 2860612330 Enrollment ID: O20141003002026 |
| Entity Name | Vallot Nurse Anesthesia, A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811386246 PECOS PAC ID: 8820319213 Enrollment ID: O20150611000001 |
| Entity Name | Digestive Health Associates Of Southern California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639604747 PECOS PAC ID: 3375806888 Enrollment ID: O20180416002250 |
| Entity Name | Maitran Consulting Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003572769 PECOS PAC ID: 2567858764 Enrollment ID: O20220414001359 |
| Entity Name | Santa Rosa Surgical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497407894 PECOS PAC ID: 0446647580 Enrollment ID: O20220420001318 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Entity Name | Scq Anesthesia A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689381105 PECOS PAC ID: 9436520814 Enrollment ID: O20230123000678 |
| Entity Name | Sedaze Anesthesia Consultants A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366209629 PECOS PAC ID: 1557708021 Enrollment ID: O20240319003683 |
| Mailing Address | Practice Location Address |
|---|---|
| Amin Shabbir Azam, CRNA 3600 Broadway, Oakland, CA 94611-5730 Ph: (510) 239-3432 | Amin Shabbir Azam, CRNA 3600 Broadway, Oakland, CA 94611-5730 Ph: (510) 752-1000 |
Diana Hiros, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Annette Chenevey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
David P Birch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Noelle Hennig, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Telegraph Ave, Oakland, CA 94609 Phone: 510-879-9200 | |
Sandra Sue Schmit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6238 | |
Ray Neil Mitsuno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000 | |
Mrs. Polly Van Sant Soler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612 Phone: 510-625-6262 |