Individual provider Active NPI

Vatche Krikor Bezdikian, MD

  • Anesthesiology Physician
  • Santa Cruz, CA
National Provider Identifier
1679787295
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A99340 Issued in CA
Practice address
2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
Phone
(831) 477-2288
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 MD28039 OR
Anesthesiology Physician 207L00000X A99340 CA Primary

Addresses

Primary practice location

2900 Chanticleer Ave
Santa Cruz, CA 95065-1816

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Other identifiers 3

IdentifierTypeStateIssuer
8507485MedicaidWA
218554MedicaidOR
P00617985OtherORRR MEDICARE

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
I20090210000092 CA Practitioner - Anesthesiology 5597843425 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Boston University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, shared by 16 NPIs, 3,783 clinicians

Practice addresses (Care Compare)

2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
Phone (831) 477-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99340CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Apr 18, 2022 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 18, 2022 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Nov 7, 2011 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 18, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 18, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 18, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 18, 2022 Accepting new patients
Redwood Anesthesia Services, a Medical Corporation Anesthesiology Past Accepting new patients
Oregon Anesthesiology Group PC Anesthesiology PastSince Jul 25, 2019 Accepting new patients
Washington Township Hospital District Past Accepting new patients

Locations (25 of 27)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440

3435 Valle Verde Dr
Ste C
Napa, CA 94558
Phone (707) 226-2031

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

2900 Chanticleer Ave
Santa Cruz, CA 95065
Phone (831) 477-2200

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

Interoperability endpoints

  • Direct secure messaging: vbezdikian617949@hisp.ehr.sutterhealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1679787295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHANTICLEER AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651816",
            "telephone_number": "831-477-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZDIKIAN",
        "first_name": "VATCHE",
        "middle_name": "KRIKOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD28039",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A99340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8507485",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218554",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00617985",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.