Individual provider Active NPI

Mark Fujii, MD

  • Anesthesiology Physician
  • San Ramon, CA
National Provider Identifier
1831134873
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G76538 Issued in CA
Practice address
2420 Camino Ramon Ste 270
San Ramon, CA 94583-4319
Phone
(925) 543-0140
Fax
(925) 543-0145
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G76538 CA Primary

Addresses

Primary practice location

2420 Camino Ramon Ste 270
San Ramon, CA 94583-4319

Mailing address

PO Box 7793
San Francisco, CA 94120-7793

Other identifiers 1

IdentifierTypeStateIssuer
00G785380MedicaidCA

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
I20091030000604 CA Practitioner - Anesthesiology 2961549563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of California PCGroup PAC ID 5092897025, 44 clinicians

Practice addresses (Care Compare)

5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Phone (678) 690-7808

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients

Locations

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

Organizations & group practices 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1831134873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 CAMINO RAMON STE 270",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834319",
            "telephone_number": "925-543-0140",
            "fax_number": "925-543-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJII",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G76538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G785380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.