Cep America - Anesthesia PC
Organization Active NPI Anesthesiology Physician · San Ramon, CA
NPI 1558043018 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1558043018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- CEP AMERICA - ANESTHESIA PC
- Practice address
- 100 Park PL Ste 110
San Ramon, CA 94583-4460 - Phone
- (925) 413-0407
- NPI assigned
- Aug 3, 2023
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Vice President & Secretary
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 35
Practitioners 11
-
Christine Abboud, D.O.
-
Samuel Barsh, MD
-
Ludwig H Lin, MD
-
David Mordecai, M.D.
-
Darion Michelle Pearson, M.D.
-
Alok Shukla, M.D.
-
Farhan Himmati, DO
-
David Lee Jr., MD
-
Andrew Moreno, M.D.
-
John Donovan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150115001110 | CA | Part B Supplier - Clinic/Group Practice | 3678897915 |
Receives reassigned benefits from 822 practitioners 17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Santa Clarita, CA; Redding, CA; Redwood City, CA; Roseville, CA; Sacramento, CA; San Jose, CA; San Ramon, CA; Stockton, CA… |
National Provider Directory
- Tax ID family
- Cep America - Anesthesia PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
100 Park PL Ste 110
San Ramon, CA 94583-4460
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 350-2600
Other providers in San Ramon, CA
- Evy Cedano Diaz
- Jimena Ceja-Sandoval
- Cynthia Ceja
- Karin Celosse
- Center for Pain and Rehabilitation Inc
- Cep America - Auc PC
- Ariana Cerda Sandoval
- Vanessa Joann Cerda
- Leslie Cerna-Delgado
- Alondra Cervantes
All providers in San Ramon, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.