Bryan R McCleve, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

75967 Issued in CA

Practice address

16325 Oakhurst Dr
Monte Sereno, CA 95030-4170

Phone

(831) 566-2407

Fax

(831) 763-9799

NPI assigned

Jul 29, 2006

Last updated

Oct 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Utah School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Petros MD IncGroup PAC ID 0941479216, 21 clinicians

G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G2 Anesthesia PC

  • Anesthesiology Physician
  • Los Gatos, CA
  • NPI 1487214698
  Medicare reassignment Care Compare group NPD
• James Petros, M.D., Inc.

  dba Allied Pain & Spine Institute

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
  • NPI 1336448299
  Medicare reassignment Care Compare group NPD
• Iqbal M Mirza MD Professional Corporation

  • Anesthesiology Physician
  • Los Gatos, CA
  • NPI 1417222985
  Medicare reassignment
• James Petros, M.D., Inc.

  dba Allied Pain & Spine

  • Physical Medicine & Rehabilitation Physician
  • San Leandro, CA
  • NPI 1710620554
  NPD
• Trinity Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
  • NPI 1750789814
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1033123369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BLOSSOM HILL RD STE C",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323583",
            "telephone_number": "408-356-6650",
            "fax_number": "408-356-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 OAKHURST DR",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950304170",
            "telephone_number": "831-566-2407",
            "fax_number": "831-763-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEVE",
        "first_name": "BRYAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G75967",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "75967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G759670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Heicher Conom, MD
• Henry J Fee, MD
• Rosalie Frankel, RPT
• Blythe Fukunaga-Block, P.T.
• Daniel J. Kanada, M.D.
• Alexandra Niazi, RD
• Hans Ivan Orup, M.D.
• Wendy Palmer, MD
• Portico Life, Inc.
• Pros in Rehab

• Anesthesiology Physician in Monte Sereno, CA
• Providers in Monte Sereno, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.