1144274085 NPI number — JOHNICA ARBEL EYVAZZADEH MD

Table of content: JOHNICA ARBEL EYVAZZADEH MD (NPI 1144274085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144274085 NPI number — JOHNICA ARBEL EYVAZZADEH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EYVAZZADEH
Provider First Name:
JOHNICA
Provider Middle Name:
ARBEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144274085
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2420 CAMINO RAMON STE 270
Provider Second Line Business Mailing Address:
MEDICAL ANESTHESIA CONSULTANTS
Provider Business Mailing Address City Name:
SAN RAMON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94583-4319
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-543-0140
Provider Business Mailing Address Fax Number:
925-543-0145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
521 PARNASSUS AVE FL 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-2206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-9035
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  A98308 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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