Individual provider Active NPI

Babak Jahromi Jamasbi, M.D.

  • Interventional Pain Medicine Physician
  • Emeryville, CA
National Provider Identifier
1376637199
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G70042 Issued in CA
Practice address
1335 Stanford Ave
Emeryville, CA 94608-1115
Phone
(510) 649-7000
Fax
(510) 740-7769
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G70042 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X G70042 CA
Pain Medicine Physician 208VP0000X G70042 CA
Interventional Pain Medicine Physician 208VP0014X G70042 CA Primary

Addresses

Primary practice location

1335 Stanford Ave
Emeryville, CA 94608-1115

Mailing address

1335 Stanford Ave
Emeryville, CA 94608-2536
Phone (510) 649-7000

Other identifiers 3

IdentifierTypeStateIssuer
00G700420OtherARBLUE SHIELD OF CALIFORNIA
ZZZ20562ZOtherCAMEDICARE GROUP PROVIDER IDENTIFICATION NUMBER
050079793OtherCARAILROAD MEDICARE

Other names 1

  • Robert Jahromi Jamasbi Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041203000427 CA Practitioner - Interventional Pain Management 7113983941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Maryland School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain and Rehabilitative Consultants Medical GroupGroup PAC ID 0345138392, 7 clinicians

Practice addresses (Care Compare)

1335 Stanford Ave
Emeryville, CA 94608-2536
Phone (510) 647-5101

20100 Lake Chabot Rd
Suite 2
Castro Valley, CA 94546-5301
Phone (510) 647-5101

3075 Citrus Cir
Suite 200
Walnut Creek, CA 94598-2667
Phone (925) 407-8100

5789 State Farm Dr
Suite 195
Rohnert Park, CA 94928-6310
Phone (510) 647-5101

87 Scripps Dr
Suite 200
Sacramento, CA 95825-6381
Phone (510) 647-5101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G70042CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Rehabilitative Consultants Medical Group Anesthesiology CurrentSince May 23, 2008 Accepting new patients
Bay Surgery Center LP PastSince Sep 2, 2002 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2500 Milvia St
Ste 104
Berkeley, CA 94704
Phone (510) 486-1700

20100 Lake Chabot Rd
Ste 2
Castro Valley, CA 94546
Phone (510) 581-1484

20990 Redwood Rd
Castro Valley, CA 94546
Phone (510) 886-8033

255 W Bullard Ave
Ste 113
Clovis, CA 93612
Phone (209) 298-7975

1335 Stanford Ave
Emeryville, CA 94608
Phone (510) 649-7000

13980 Blossom Hill Rd
Ste B
Los Gatos, CA 95032
Phone (408) 445-8400

1640 W Yosemite Ave
Ste 2
Manteca, CA 95337

Dept LA 23870
Pasadena, CA 91185

345 Hickory St
Red Bluff, CA 96080
Phone (530) 529-4190

5789 State Farm Dr
Ste 195
Rohnert Park, CA 94928
Phone (707) 645-7210

87 Scripps Dr
Ste 200
Sacramento, CA 95825
Phone (916) 436-3015

2000 Van Ness Ave
Ste 402
San Francisco, CA 94109
Phone (415) 567-1219

3075 Citrus Cir
Ste 200
Walnut Creek, CA 94598
Phone (925) 407-8100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1376637199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 STANFORD AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082536",
            "telephone_number": "510-649-7000",
            "fax_number": "510-740-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 STANFORD AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081115",
            "telephone_number": "510-649-7000",
            "fax_number": "510-740-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMASBI",
        "first_name": "BABAK",
        "middle_name": "JAHROMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G70042",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G70042",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G70042",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G70042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00G700420",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "ZZZ20562Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050079793",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "JAMASBI",
            "middle_name": "JAHROMI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.