Individual provider Active NPI

Ian Craig Brown, M.D.

  • Anesthesiology Physician
  • Tracy, CA
National Provider Identifier
1538167903
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G74032 Issued in CA
Practice address
2160 W Grant Line Rd Ste 120
Tracy, CA 95377-7331
Phone
(209) 836-5680
Fax
(209) 836-5778
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G74032 CA Primary

Addresses

Primary practice location

2160 W Grant Line Rd Ste 120
Tracy, CA 95377-7331

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

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
I20041122000761 CA Practitioner - Anesthesiology 7810952595 Reassigns benefits to 1 organization
Practice locations: Tracy, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Francisco School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Anesthesia IncGroup PAC ID 8224197108, 21 clinicians

Practice addresses (Care Compare)

4626 Willow Rd
Suite 100
Pleasanton, CA 94588-8555
Phone (925) 734-6744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74032CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Anesthesia Inc Anesthesiology CurrentSince May 17, 2018 Accepting new patients
East Bay Anesthesiology Medical Group, Inc Anesthesiology Past Accepting new patients

Locations

1208 E 5th St
#200
Benicia, CA 94510
Phone (707) 745-5500

575 Sir Francis Drake Blvd
Ste 3
Greenbrae, CA 94904
Phone (415) 925-1030

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

1393 Santa Rita Rd
Pleasanton, CA 94566
Phone (925) 462-2334

4626 Willow Rd
Ste 100
Pleasanton, CA 94588
Phone (925) 462-2334

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

450 Sutter St
Rm 500
San Francisco, CA 94108
Phone (415) 393-9600

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

2160 W Grant Line Rd
Ste 120
Tracy, CA 95377
Phone (209) 832-2095

Organizations & group practices 2

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1538167903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 120",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777331",
            "telephone_number": "209-836-5680",
            "fax_number": "209-836-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "IAN",
        "middle_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G74032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.