Individual provider Active NPI

Ghulam S. Joyo, MD

  • Anesthesiology Physician
  • Walnut Creek, CA
National Provider Identifier
1508850843
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C196767 Issued in CA
Practice address
460 N Wiget LN Ste B
Walnut Creek, CA 94598-2408
Phone
(925) 378-4930
Fax
(925) 627-3560
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 232612-1 NY
Anesthesiology Physician 207L00000X C196767 CA Primary

Addresses

Primary practice location

460 N Wiget LN Ste B
Walnut Creek, CA 94598-2408

Mailing address

460 N Wiget LN Ste B
Walnut Creek, CA 94598-2408

Other practice location 1

4 Financial Plz
Napa, CA 94558-3043
Phone (707) 266-7051

Other practice location 2

967 N Broadway
Department of Anesthesia
Yonkers, NY 10701-1301
Phone (914) 964-4972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041019001088 NY Practitioner - Anesthesiology 1254392715 Reassigns benefits to 3 organizations
I20240723004656 CA Practitioner - Vascular Surgery 1254392715 Reassigns benefits to 1 organization
I20240819004041 CA Practitioner - Anesthesiology 1254392715

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C196767CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Long Island LLC CurrentSince Dec 1, 2022 Accepting new patients
Bass Medical Group CurrentSince Sep 3, 2024 Accepting new patients
Kips Bay Endoscopy Center, LLC CurrentSince Oct 6, 2009 Accepting new patients
Bass Medical Group CurrentSince Sep 3, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Nov 1, 2017 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

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

4 Financial Plz
Napa, CA 94558
Phone (707) 266-7051

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

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

711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

118 N Bedford Rd
Ste 200
Mount Kisco, NY 10549
Phone (800) 362-6220

535 2nd Ave
New York, NY 10016
Phone (212) 447-1609

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1508850843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N WIGET LN STE B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N WIGET LN STE B",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982408",
            "telephone_number": "925-378-4930",
            "fax_number": "925-627-3560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Financial Plz",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945583043",
            "country_code": "US",
            "telephone_number": "707-266-7051",
            "fax_number": "707-266-7052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "967 N Broadway",
            "address_2": "Department of Anesthesia",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011301",
            "country_code": "US",
            "telephone_number": "914-964-4972",
            "fax_number": "914-964-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOYO",
        "first_name": "GHULAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232612-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C196767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.