Healthcare Provider Details

I. General information

NPI: 1134201643
Provider Name (Legal Business Name): TOM DAVID BABIN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

1415 TULANE AVE HC-71
NEW ORLEANS LA
70112-2600
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-9516
  • Fax:
Mailing address:
  • Phone: 504-988-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNA3276
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP04214
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: