AMIN SHABBIR AZAM CRNA
NPI 1255808929
Nurse Anesthetist, Certified Registered in Oakland, CA
About Amin Shabbir Azam Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMIN SHABBIR AZAM CRNA (NPI 1255808929) is an individual nurse anesthetist, certified registered in Oakland, California, licensed in California (118708) and active in the NPI registry since October 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amin Shabbir Azam Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Amin Azam reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oakland, CA 94612
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
San Francisco, CA 94104
- Reassigned Medicare billing, California enrollment
- 94 clinicians in this Medicare group
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Castro Valley, CA 94546
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 176 clinicians in this Medicare group
Santa Rosa, CA 95404
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- 35 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 293 clinicians in this Medicare group
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, CA 94611
OAKLAND, CA 94611
OAKLAND, CA 94611
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amin Azam's NPI number?
The NPI number for Amin Azam is 1255808929. It was assigned to this individual provider in the NPPES registry on October 31, 2018.
Where is Amin Azam located?
Amin Azam practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1000.
What is Amin Azam's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Amin Azam enrolled in Medicare?
Yes. Amin Azam is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amin Azam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amin Azam reassigns Medicare benefits to 10 organizations: Amsurg Oakland Anesthesia LP (Oakland, CA), Mai Nursing Anesthesia PC (San Francisco, CA), Permanente Medical Group Inc (Richmond, CA), Sedaze Anesthesia Consultants A Professional Nursing Corporation (Castro Valley, CA), Premier Anesthesia Of California, PC (San Ramon, CA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amin Azam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amin Azam was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amin Shabbir Azam, CRNA · NPI 1255808929
Nurse Anesthetist, Certified Registered physician in Oakland, California. Individual provider, active in the CMS NPPES registry since October 31, 2018.
## Identity
- **NPI:** 1255808929 (Entity type: Individual)
- **Enumerated:** October 31, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 118708 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3600 BROADWAY, Oakland, CA 94611-5730
- **Phone:** (510) 752-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Amsurg Oakland Anesthesia LP (NPI 1679847727, Oakland, CA); Mai Nursing Anesthesia PC (NPI 1003572769, San Francisco, CA); Permanente Medical Group Inc (NPI 1235226531, Richmond, CA); Sedaze Anesthesia Consultants A Professional Nursing Corporation (NPI 1366209629, Castro Valley, CA); Premier Anesthesia Of California, PC (NPI 1770691859, San Ramon, CA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1255808929) · Data from the CMS NPPES public registry.