Tigran V Avakumov, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A84384 Issued in CA

Practice address

2626 N California St
Suite G
Stockton, CA 95204-5500

Phone

(209) 464-9846

Fax

(209) 464-4082

NPI assigned

Jul 2, 2006

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

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 2

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Sanford School of Medicine of University of South Dakota, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Tahoe Anesthesia Medical GroupGroup PAC ID 5698748663, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barton Memorial Hospital Hospital, South Lake Tahoe, CA, CCN 050352

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Tahoe Anesthesia Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • South Lake Tahoe, CA
  • NPI 1962513770

  NV

  Medicare reassignment Care Compare group
• Delta Radiology, Inc.

  • Specialist
  • Lodi, CA
  • NPI 1881728327
  NPD (past)
• Morpheus Anesthesia Inc

  • Anesthesiology Physician
  • Stockton, CA
  • NPI 1700836988
  NPD (past)
• Christopher J Garrett LTD

  • Pain Medicine (Anesthesiology) Physician
  • Carson City, NV
  • NPI 1386837391
  NPD (past)
• Randall L Goode MD PC

  • Anesthesiology Physician
  • Carson City, NV
  • NPI 1629394663
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barton Healthcare System

  dba Barton Memorial Hospital

  • General Acute Care Hospital
  • South Lake Tahoe, CA
  • NPI 1003867565
  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1891724670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N CALIFORNIA ST",
            "address_2": "SUITE G",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045500",
            "telephone_number": "209-464-9846",
            "fax_number": "209-464-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N CALIFORNIA ST",
            "address_2": "SUITE G",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045500",
            "telephone_number": "209-464-9846",
            "fax_number": "209-464-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKUMOV",
        "first_name": "TIGRAN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A84384",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A84384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radin Aur, DPM
• Aura Surgery Center of Stockton LLC
• Garrett Austin, PA
• Authority Vascular Surgery Incorporated
• Av Corp Inc
• Alanny D Avalos
• Jessica L Avalos
• Valerie Avalos
• Evony Michelle Avelar
• Natalie Avelar

• Anesthesiology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.