Individual provider Active NPI

Ramin Sean Pakbaz, M.D.

  • Neuroradiology Physician
  • San Diego, CA
National Provider Identifier
1811072457
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A73947 Issued in CA
Practice address
13265 Norcroft Rd
San Diego, CA 92130-1286
Phone
(916) 220-7326
NPI assigned
Oct 25, 2006
Last updated
Oct 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A73947 CA Primary

Addresses

Primary practice location

13265 Norcroft Rd
San Diego, CA 92130-1286

Mailing address

13265 Norcroft Rd
San Diego, CA 92130-1286
Phone (916) 220-7326

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
I20040102000274 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic RadiologyPractitioner - Other (Physician) 4385542257 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73947CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 12, 2020 Accepting new patients
Scripps Health Current Accepting new patients
California Center for Neurointerventional Surgery CurrentSince Jan 25, 2015 Accepting new patients

Locations

9834 Genesee Ave
Ste 411
La Jolla, CA 92037
Phone (858) 453-7700

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

23052 Alicia Pkwy
Ste 619
Mission Viejo, CA 92692
Phone (714) 808-9292

11199 Sorrento Valley Rd
Ste 203
San Diego, CA 92121
Phone (267) 266-6171

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: rpakbaz67687@scrippshlth.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1811072457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13265 NORCROFT RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301286",
            "telephone_number": "916-220-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13265 NORCROFT RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301286",
            "telephone_number": "916-220-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKBAZ",
        "first_name": "RAMIN",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A73947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.