DR. RASHIDA BAZOLO N'GOUAMBA NPI 1184726481

NPI Information

NPI: 1184726481
Provider Name: DR. RASHIDA BAZOLO N'GOUAMBA
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
50 ALESSANDRO PL STE 430
PASADENA, CA
ZIP 91105
Phone: (626) 796-9114
Get Directions

DR. Rashida Bazolo N'gouamba is a gynecology obstetrics gynecology in Pasadena, CA with 22 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Rashida Bazolo N'gouamba NPI is 1184726481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

50 ALESSANDRO PL STE 430
PASADENA, CA
ZIP 91105
Phone: (626) 796-9114

The NPI 1184726481 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 9/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		234013	NEW YORK	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	95982	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02826319	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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