Daniel Fazio, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A94253 Issued in CA

Practice address

3000 Colby St
Suite 205
Berkeley, CA 94705-2083

Phone

(510) 666-0854

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

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

Specialty

Anesthesiology

Education

University of California, San Francisco School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Bay Anesthesiology Medical Group IncGroup PAC ID 2365348950, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dfazio15305@direct-ucsfmedicalcenter.org
• Direct secure messaging: dfazio161238@hisp.ehr.sutterhealth.org

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.

• East Bay Anesthesiology Medical Group, Inc

  • Anesthesiology Physician
  • Oakland, CA
  • NPI 1649226242
  Medicare reassignment Care Compare group NPD

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

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1295181477
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004
  Care Compare affiliation

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1891823340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 205",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-666-0854",
            "fax_number": "858-505-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 205",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052083",
            "telephone_number": "510-666-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A94253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891823340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Farwig, L.AC.
• Elayne Marye Faucett-Maples, NP
• Jordan Faulkner, MSPAS, PA-C
• Sean Faulkner
• Jennifer Faust, DNP, PMHNP
• Paul Augie Feder, M.A., MFT
• Madeline Licker Feingold, PH.D.
• Elena Ruth Felder, MFT
• Erica Feldman, LCSW
• Ethan Daniel Feldman, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.