Individual provider Active NPI

Amitabh Mohan Mathur, MD

  • Anesthesiology Physician
  • Hollister, CA
National Provider Identifier
1932173986
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A067559 Issued in CA
Practice address
911 Sunset Dr
Hollister, CA 95023-5606
Phone
(831) 637-5711
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 A067559 CA Primary

Addresses

Primary practice location

911 Sunset Dr
Hollister, CA 95023-5606

Mailing address

300 Pasteur Dr
Palo Alto, CA 94305-2200
Phone (650) 723-4000

Other identifiers 1

IdentifierTypeStateIssuer
00A675590MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67559CAMDPharmacist
A067559CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Sep 17, 2001 Accepting new patients
Comfort Anesthesia Associates Inc Anesthesiology CurrentSince Nov 15, 2023 Accepting new patients
Stanford Health Care Anesthesiology CurrentSince Sep 17, 2001 Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients
Elite Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients

Locations

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1932173986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SUNSET DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235606",
            "telephone_number": "831-637-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "AMITABH",
        "middle_name": "MOHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A067559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A675590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.