DR. CAESAR REZA DJAVAHERIAN M.D. NPI 1790760551

Emergency Medicine in Fairfield, CA

Individual Male Emergency Medicine PECOS Enrolled Accepts Medicare Years Experience 19

About CAESAR DJAVAHERIAN

Caesar Djavaherian is a provider established in Fairfield, California and his medical specialization is emergency medicine with more than 19 years of experience. The NPI number of Caesar Djavaherian is 1790760551 and was assigned on December 2005. The practitioner's primary taxonomy code is 207P00000X with license number A104178 (CA). The provider is registered as an individual and his NPI record was last updated 9 years ago. Caesar Djavaherian is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Northbay Medical Center.

NPI

1790760551

Provider NameDR. CAESAR REZA DJAVAHERIAN M.D.
Provider Location Address1200 B GALE WILSON BLVD FAIRFIELD, CA 94533
Provider Mailing Address769 SPRUCE ST BERKELEY, CA 94707
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-14-2005
Last Update Date03-14-2011

Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.A104178
License StateCA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. CAESAR REZA DJAVAHERIAN M.D.
1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533
Phone: (707) 646-7800

Get Directions

Mailing Address

DR. CAESAR REZA DJAVAHERIAN M.D.
769 SPRUCE ST
BERKELEY, CA
ZIP 94707
Phone: (510) 502-4336

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3577654417
PECOS Enrollment IDI20080922000228
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)Yes
Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 299Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 18X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 12Automated urinalysis test (HCPCS:81003)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
NORTHBAY MEDICAL CENTER050367

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine234034NYNo

Taxonomy Description: an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003801556DR. JOSEPH J DOMINGUEZ M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1003809823DR. JEFFREY J SAADI M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1023045515 SETH ABRAHAM KAUFMAN M.D.
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-7830
1164431615 SHIRLEY YI SHEN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-7844
1215904198DR. GODFREY E WONG MD
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-0777
1326031030DR. ANNIE Y LAU M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1417915513 JAMIE MICHELLE WHEELAHAN NP
Individual
Nurse Practitioner (Acute Care)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 646-5300
1477522480DR. PUSHKAR RAJ PANDEY M.D.
Individual
Internal Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1598868705 GARY L. HOLLINGER PA-C
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1609824556DR. JAMES B BRONK M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1639121924EMERGENCY AND ACUTE CARE MEDICAL CORPORATION
Organization
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(858) 759-4765
1649263526DR. RONALD T STAFFORD M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1689692584 KATHRYN LEMLOW PA-C
Individual
Emergency Medicine1200 B GALE WILSON BLVD NORTHBAY MEDICAL CENTER
FAIRFIELD, CA 94533
(707) 429-3600
1770539413DR. JAMES F MCMAHON M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1790888758 DAVID A PARKHURST FNP
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1841283595DR. WAYNE THOMAS WALKER M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1861413551DR. NAIL AMRO M.D.
Individual
Internal Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1952344293SOLANO GATEWAY MEDICAL GROUP, INC.
Organization
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(925) 924-1600
1952348617DR. WILLIAM N GONSER M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 464-6510
1962495671DR. MARK HILBERMAN M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.