Individual
BABAK JAHROMI JAMASBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1335 STANFORD AVE, EMERYVILLE, CA 94608-1115
(510) 649-7000
(510) 740-7769
Mailing address
1335 STANFORD AVE, EMERYVILLE, CA 94608-2536
(510) 649-7000
(510) 740-7769
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G70042
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G70042
CA
208VP0000X
Pain Medicine Physician
G70042
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G70042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G700420
BLUE SHIELD OF CALIFORNIA
AR
01
—
050079793
RAILROAD MEDICARE
CA
01
—
ZZZ20562Z
MEDICARE GROUP PROVIDER IDENTIFICATION NUMBER
CA
Enumeration date
10/03/2006
Last updated
03/29/2012
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