SAFWAN KAZMOUZ (NPI# 1245238922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245238922 |
| Entity Type | Individual |
| Full Name | SAFWAN KAZMOUZ |
| Credential | M.D. |
| Practice Address |
25 Circle Dr Apt A Tiburon CA 94920-2180 |
| Practice Telephone | 7347181749 |
| Practice Fax Number | 4158888006 |
| Mailing Telephone | 7347181749 |
| Mailing Fax Number | 4158888006 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
4301062135 | MI | Allopathic & Osteopathic Physicians |
| Y | 261Q00000X | Clinic/Center | A65580 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4123626 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 0808272492 | 01 |
| Street Address |
25 CIRCLE DR APT A |
| City | TIBURON |
| State | CA |
| Zip Code | 94920-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514116 | Cassie Merrier | Physical Therapist | 0 Alcatraz Ave, Tiburon, CA 94920 | 2019-02-18 |
| 1295123701 | Geoffrey Collins | Family Medicine | 14 Leeward Rd, Belvedere, CA 94920 | 2015-01-06 |
| 1154758548 | James Lynne Bennington | Pathology | 55 Beach Road, Belvedere, CA 94920 | 2013-10-01 |
| 1922442532 | Olav Nicholas Norman | Anesthesiology | 42 Norman Way, Tiburon, CA 94920 | 2013-04-25 |
| 1619162864 | Sarah Dihmes | Psychologist | 17 Captain's Landing, Tiburon, CA 94920 | 2007-09-11 |
| 1578632279 | James Patrick Hardy | Anesthesiology | 18 Salt Lnd, Bel Tiburon, CA 94920 | 2006-11-07 |
| 1215015847 | Jay I. La Bourene | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1550-g Tiburon Blvd, Tiburon, CA 94920 | 2006-11-01 |
| 1780767103 | Gretchen K Andreis | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920 | 2006-10-21 |
| 1215573324 | Eileeen Grace Mckenzie | Marriage & Family Therapist | 4850 Paradise Dr, Tiburon, CA 94920-1001 | 2019-11-24 |
| 1972546695 | Harvey A Gilbert | Radiology | 159 Saint Thomas Way, Tiburon, CA 94920-1031 | 2006-06-13 |
| Find all providers in zip 94920 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053272 | West Sacramento Primary Care Inc. | Clinic/Center | 2455 Jefferson Blvd Ste 100, West Sacramento, CA 95691-5329 | 2020-11-06 |
| 1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1225636855 | Optimum Wellness and Weight Loss | Clinic/Center | 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 | 2020-10-15 |
| 1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAFWAN KAZMOUZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.