Individual provider Active NPI

Ambreen Zaman, P.A.

  • Surgical Physician Assistant
  • Oakland, CA
National Provider Identifier
1770014367
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA54286 Issued in CA
Practice address
3315 Broadway
Street Level
Oakland, CA 94611-5717
Phone
(510) 486-2300
Fax
(510) 486-2333
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA54286 CA Primary

Addresses

Primary practice location

3315 Broadway
Street Level
Oakland, CA 94611-5717

Mailing address

200 Porter Dr
Suite 215
San Ramon, CA 94583-1587
Phone (925) 362-2166

Other names 1

  • Ambreen Qureshi Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504001611 CA Practitioner - Physician Assistant 1850678681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA54286CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Orthopaedic Medical Group, a Professional Corporation CurrentSince Mar 28, 2017 Accepting new patients

Locations

1133 E Stanley Blvd
Ste 111
Livermore, CA 94550
Phone (925) 371-5377

3315 Broadway
Oakland, CA 94611
Phone (510) 486-2300

200 Porter Dr
Ste 215
San Ramon, CA 94583
Phone (925) 362-2166

200 Porter Dr
Ste 101
San Ramon, CA 94583
Phone (925) 838-1440

Interoperability endpoints

  • Direct secure messaging: azaman18727@hpmg.direct-ci.net
  • Direct secure messaging: ambreen.zaman.1@33925.direct.athenahealth.com

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1770014367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PORTER DR",
            "address_2": "SUITE 215",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831587",
            "telephone_number": "925-362-2166",
            "fax_number": "855-574-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BROADWAY",
            "address_2": "STREET LEVEL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115717",
            "telephone_number": "510-486-2300",
            "fax_number": "510-486-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "AMBREEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA54286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBREEN",
            "last_name": "QURESHI",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.