Individual provider Active NPI

Azadeh Esmaeili

  • Anatomic Pathology & Clinical Pathology Physician
  • Berkeley, CA
National Provider Identifier
1386198489
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A181222 Issued in CA
Practice address
2510 Webster St
Berkeley, CA 94705-2557
Phone
(510) 548-6555
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A181222 CA Primary

Addresses

Primary practice location

2510 Webster St
Berkeley, CA 94705-2557

Mailing address

2510 Webster St
Berkeley, CA 94705-2557

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
I20220901000938 CA Practitioner - Pathology 6406230986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 A Cooper CT
Los Gatos, CA 95032-7604

1435 Oakhurst Ave
San Carlos, CA 94070-4632

1633 Erringer Rd
Simi Valley, CA 93065-3583

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

800 Washington St
Boston, MA 02111-1552

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

Merit-based Incentive Payment System (MIPS)

Final score
55.93 of 100Reported as individual
Quality
68.35
Improvement activities
0
Cost
71.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181222CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathology Medical Group, Inc CurrentSince Aug 17, 2025 Accepting new patients
Associated Pathology Medical Group, Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Bass Medical Group CurrentSince Sep 15, 2022 Accepting new patients
Bass Medical Group CurrentSince Sep 15, 2022 Accepting new patients
Bass Medical Group Current Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Bass Medical Group Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2510 Webster St
Berkeley, CA 94705
Phone (510) 548-6555

105A Cooper Ct
Los Gatos, CA 95032
Phone (408) 884-2710

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1386198489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WEBSTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WEBSTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052557",
            "telephone_number": "510-548-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAEILI",
        "first_name": "AZADEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A181222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.