Eduardo Elazegui Amar

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

24756 Issued in CA

Practice address

3600 Broadway
Oakland, CA 94611-5730

Phone

(510) 752-8886

NPI assigned

Jan 4, 2019

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1811460546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 MARATHON ST APT 133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262867",
            "telephone_number": "415-786-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115730",
            "telephone_number": "510-752-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAR",
        "first_name": "EDUARDO",
        "middle_name": "ELAZEGUI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "24756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karoleene A Amanian
• Teflon Semere Amaniel, NON EMERGENCY MEDICA
• Rose Amanin, BCDMT1215
• Kritika Amanjee, MD, MBA
• Baharak Amanzadeh, DDS, MPH
• Amberlee Amaral, RN
• Michael Amaral
• Rachel Amare
• Dena Amato, D.C.
• Michele Elizabeth Amato, BCBA

• Certified Respiratory Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Certified Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.