Emil Eyvazzadeh, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A036367 Issued in CA

Practice address

5401 Norris Canyon Rd Ste 104
San Ramon, CA 94583-5406

Phone

(925) 277-1441

Fax

(925) 277-0801

NPI assigned

Aug 25, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881702462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD STE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835406",
            "telephone_number": "925-277-1441",
            "fax_number": "925-277-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD STE 104",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835406",
            "telephone_number": "925-277-1441",
            "fax_number": "925-277-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYVAZZADEH",
        "first_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A036367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inise Evans
• Ever After Individual and Family Therapy
• Ever After Individual and Family Therapy
• Mya Brynn Ewing, B.S., RBT 15-02535
• Aimee D Eyvazzadeh, MD
• David Ezeocha
• F. Anderson Rowe, M.D. Inc.
• F. Calvin Lemon M.D. Inc
• Nora Stillman Fahden, M.D.
• Rianna J Fajardo

• Obstetrics & Gynecology Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.