Individual provider Active NPI

Jack James Bairamian, M.D.

  • Anesthesiology Physician
  • San Diego, CA
National Provider Identifier
1982863536
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A110103 Issued in CA
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

Updated by the provider on May 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20110222000170 CA Practitioner - Anesthesiology 7517148711 Reassigns benefits to 6 organizations
I20130830000150 FL Practitioner - AnesthesiologyPractitioner - Pain Management 7517148711 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110103CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jul 17, 2023 Accepting new patients
Treasure Coast Anesthesia Group PA Anesthesiology CurrentSince Jun 1, 2019 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 CurrentSince May 1, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince May 1, 2024 Accepting new patients
Anesthesia Service Medical Group Anesthesiology CurrentSince May 1, 2020 Accepting new patients
University Anesthesia Medical Group Anesthesiology CurrentSince Jul 17, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Jan 21, 2026 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Nov 4, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Nov 4, 2017 Accepting new patients
University of California San Francisco CurrentSince Jul 17, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince May 1, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 17, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 17, 2023 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

  • Direct secure messaging: jbairamian363088@scrippshlth.medalliesdirect.net
  • Direct secure messaging: 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.

View all 24

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

Verify at the official NPI Registry.