Individual provider Active NPI

Michael J Auza, M.D.

  • Psychiatry Physician
  • Daly City, CA
National Provider Identifier
1649560673
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A114483 Issued in CA
Practice address
455 Hickey Blvd
Suite 414
Daly City, CA 94015-2629
Phone
(650) 301-4960
Fax
(650) 301-4961
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A114483 CA Primary

Addresses

Primary practice location

455 Hickey Blvd
Suite 414
Daly City, CA 94015-2629

Mailing address

455 Hickey Blvd
Suite 414
Daly City, CA 94015-2629

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
I20130201000263 CA Practitioner - Psychiatry 6901050798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians

Practice addresses (Care Compare)

3100 Oak Rd
Suite 270
Walnut Creek, CA 94597-2078
Phone (925) 944-9711

611 Gateway Blvd
Suite 120
South San Francisco, CA 94080-7066
Phone (650) 301-4960

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Psychiatric Associates Psychiatry CurrentSince Mar 1, 2013 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Jul 1, 2013 Accepting new patients

Locations

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
#3340
Berkeley, CA 94704
Phone (510) 204-4451

611 Gateway Blvd
Ste 210
South San Francisco, CA 94080

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1649560673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 HICKEY BLVD",
            "address_2": "SUITE 414",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HICKEY BLVD",
            "address_2": "SUITE 414",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152629",
            "telephone_number": "650-301-4960",
            "fax_number": "650-301-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUZA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A114483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.