Active NPI
Hernan Antonio Bazan, M.D.
- Vascular Surgery Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- C203948
- Practice address
- 1100 Van Ness Ave FL 5
San Francisco, CA 94109-6978 - Phone
- (415) 537-8600
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 044485 | CT | |
| Vascular Surgery Physician | 2086S0129X | C203948 | CA | Primary |
| Vascular Surgery Physician | 2086S0129X | 201525 | LA |
Addresses
Primary practice location
1100 Van Ness Ave FL 5
San Francisco, CA 94109-6978
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044485 | Other | CT | LICENSE |
| 01078003 | Medicaid | MS | |
| 1014630 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Georgetown University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Rowland Way
Novato, CA 94945-5056
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470
165 Rowland Way
Suite 201
Novato, CA 94945-5055
Phone (415) 600-6400
3838 California St
San Francisco, CA 94118-1506
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C203948 | CA | MD | Vascular Surgery Physician |
| 044485 | CT | MD | Vascular Surgery Physician |
| 201525 | LA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
165 Rowland Way
Ste 201
Novato, CA 94945
Phone (415) 600-1817
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
1514 Jefferson Hwy
New Orleans, LA 70121
Interoperability endpoints
- hbazan750340@hisp.ehr.sutterhealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Sutter Pacific Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Health Center - Meadowcrest Professional Building
- General Practice Physician
- Gretna, LA
- NPI 1053555458
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
dba Leonard J. Chabert Medical Center
- General Acute Care Hospital
- Houma, LA
- NPI 1326485749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1073714358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276950",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958276950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VAN NESS AVE FL 5",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096978",
"telephone_number": "415-537-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZAN",
"first_name": "HERNAN",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CT",
"license": "044485",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "C203948",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "LA",
"license": "201525",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "044485",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01078003",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014630",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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- Joshua Bazell, MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.