Active NPI
Jack James Bairamian, M.D.
- Anesthesiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A110103
- Practice address
- 3626 Ruffin Rd
San Diego, CA 92123-1810 - Phone
- (858) 565-9666
- Fax
- (858) 565-9441
- NPI assigned
- Jun 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME113345 | FL | |
| Pediatric Anesthesiology Physician | 207LP3000X | ME113345 | FL | |
| Anesthesiology Physician | 207L00000X | A110103 | CA | Primary |
Addresses
Primary practice location
3626 Ruffin Rd
San Diego, CA 92123-1810
Mailing address
3626 Ruffin Rd
San Diego, CA 92123-1810
Phone (858) 565-9666
Other practice location 1
7111 Fairway Dr
Palm Beach Gardens, FL 33418-4204
Phone (561) 623-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110222000170 | CA | Practitioner - Anesthesiology | 7517148711 | Reassigns benefits to 6 organizations |
| I20130830000150 | FL | Practitioner - Anesthesiology | 7517148711 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110103 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| Treasure Coast Anesthesia Group PA | Anesthesiology | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Anesthesia Service Medical Group | Anesthesiology | Current | Accepting new patients |
| University Anesthesia Medical Group | Anesthesiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Valley Children'S Medical Group | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| UCSF Medical Center | Anesthesiology | Past | Accepting new patients |
| Valley Children'S Hospital | Past | Accepting new patients |
Locations
2540 East St
Concord, CA 94520
Phone (925) 674-2228
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
3626 Ruffin Rd
San Diego, CA 92123
Phone (619) 565-9666
521 Parnassus Ave
Fl 4
San Francisco, CA 94143
Phone (415) 476-9035
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Interoperability endpoints
- jbairamian363088@scrippshlth.medalliesdirect.net
- jbairamian306495@direct-ucsfmedicalcenter.org
Organizations & group practices 24
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.
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- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
Anesthesiology, CA
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
CA
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
Anesthesiology, CA
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
Anesthesiology, FL
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
Anesthesiology, FL
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
CA
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1053354233
Anesthesiology
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Sacramento, CA
- NPI 1366435380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589068800000",
"number": "1982863536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 RUFFIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231810",
"telephone_number": "858-565-9666",
"fax_number": "585-659-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 RUFFIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231810",
"telephone_number": "858-565-9666",
"fax_number": "858-565-9441"
}
],
"practiceLocations": [
{
"address_1": "7111 Fairway Dr",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334184204",
"country_code": "US",
"telephone_number": "561-623-2019",
"fax_number": "865-692-5873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIRAMIAN",
"first_name": "JACK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-07",
"last_updated": "2020-05-10",
"certification_date": "2020-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME113345",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "FL",
"license": "ME113345",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A110103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.