Individual provider Active NPI

Himabindu Poonati

  • Anesthesiology Physician
  • Paradise, CA
National Provider Identifier
1972945434
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
133592 Issued in CA
Practice address
5974 Pentz Rd
Department of Anesthesiology
Paradise, CA 95969-5509
Phone
(530) 877-9361
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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 133592 CA Primary

Addresses

Primary practice location

5974 Pentz Rd
Department of Anesthesiology
Paradise, CA 95969-5509

Mailing address

2025 California St Apt 10
Mountain View, CA 94040-1970

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
I20150226002223 CA Practitioner - Anesthesiology 4082930565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino AnesthesiaGroup PAC ID 7517360639, 61 clinicians

Practice addresses (Care Compare)

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133592CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Anesthesia Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Iqbal M Mirza MD Professional Corporation Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
Anesthesia Care Consultants Inc Anesthesiology Past Accepting new patients

Locations

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

555 Knowles Dr
Ste 115
Los Gatos, CA 95032
Phone (408) 374-4400

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

Organizations & group practices 3

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 3

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1972945434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 CALIFORNIA ST APT 10",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 PENTZ RD",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695509",
            "telephone_number": "530-877-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONATI",
        "first_name": "HIMABINDU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "133592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.