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DR. MICHAEL RYAN FAVAZZA M.D.
NPI 1295975951
Pediatrics in Oakland, CA

Active since February 20, 2009PECOS Enrolled
747 52ND ST, OAKLAND, CA 94609(510) 428-3000 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Ryan Favazza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL RYAN FAVAZZA M.D. (NPI 1295975951) is an individual pediatrics provider in Oakland, California, licensed in California (A106010) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295975951
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHAEL RYAN FAVAZZACredential: M.D.
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address747 52nd StOakland, CA 94609-1809 · (510) 428-3000
Phone(510) 428-3000
Sole ProprietorNo
Enumeration DateFebruary 20, 2009
Last NPPES UpdateDecember 6, 2021
✔ NPI 1295975951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A106010
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
747 52ND ST, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Ryan Favazza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Favazza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
304 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

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 Michael Favazza's NPI number?

The NPI number for Michael Favazza is 1295975951. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Michael Favazza located?

Michael Favazza practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3000.

What is Michael Favazza's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Favazza enrolled in Medicare?

Yes. Michael Favazza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Favazza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Favazza reassigns Medicare benefits to Southern California Permanente Medical Group (Oxnard, CA). The 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 Michael Favazza'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 Michael Favazza was last updated on December 6, 2021. 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.