Individual provider Active NPI

Adam Mason, D.O.

  • Anesthesiology Physician
  • Anaheim, CA
National Provider Identifier
1760740526
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A14399 Issued in CA
Practice address
101 The City Dr. S.
Uci Department of Anesthesiology
Anaheim, CA 92697
Phone
(714) 456-5501
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R2977 KY
Anesthesiology Physician 207L00000X 20A14399 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

101 The City Dr. S.
Uci Department of Anesthesiology
Anaheim, CA 92697

Mailing address

101 The City Dr. S.
Uci Department of Anesthesiology
Anaheim, CA 92697
Phone (714) 456-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20161212001234 AL Practitioner - Anesthesiology 9931408606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Lake Health Springhill LLCGroup PAC ID 2365830007, 47 clinicians
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 460-5220

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14399CAMDAnesthesiology Physician
R2977KYMDAnesthesiology Physician
14399CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC Anesthesiology CurrentSince Feb 8, 2021 Accepting new patients
Physynergy, LLC Anesthesiology CurrentSince Nov 1, 2016 Accepting new patients
Blue Lake Health Springhill, LLC Anesthesiology CurrentSince Nov 9, 2021 Accepting new patients
Anesthesiologists Associated PC CurrentSince Feb 8, 2021 Accepting new patients
Physynergy, LLC Anesthesiology Current Accepting new patients
Physynergy, LLC Anesthesiology CurrentSince Nov 1, 2016 Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

Interoperability endpoints

  • Direct secure messaging: amason@direct.mhg.com

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.

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1760740526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR. S.",
            "address_2": "UCI DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92697",
            "telephone_number": "714-456-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR. S.",
            "address_2": "UCI DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92697",
            "telephone_number": "714-456-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "R2977",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A14399",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.