Organization Active NPI

Azim U. Azhand, M.D. Professional Corporation

  • Primary Care Clinic/Center
  • Temecula, CA
National Provider Identifier
1003150657
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A49621 Issued in CA
Legal business name
AZIM U. AZHAND, M.D. PROFESSIONAL CORPORATION
Practice address
27450 Ynez Rd
Suite 108
Temecula, CA 92591-4671
Phone
(951) 695-4333
Fax
(951) 695-4828
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Azim U. Azhand, M.D.NPI 1548362064
Title
President
Phone
(951) 695-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A49621 CA Primary

Addresses

Primary practice location

27450 Ynez Rd
Suite 108
Temecula, CA 92591-4671

Mailing address

27450 Ynez Rd
Suite 108
Temecula, CA 92591-4671
Phone (951) 695-4333

Other identifiers 1

IdentifierTypeStateIssuer
00A4962100MedicaidCA

National Provider Directory

National Provider Directory

Locations

27450 Ynez Rd
Ste 108
Temecula, CA 92591
Phone (951) 695-4333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1003150657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "address_2": "SUITE 108",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914671",
            "telephone_number": "951-695-4333",
            "fax_number": "951-695-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "address_2": "SUITE 108",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914671",
            "telephone_number": "951-695-4333",
            "fax_number": "951-695-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIM U. AZHAND, M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "AZHAND",
        "authorized_official_first_name": "AZIM",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-695-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A49621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A4962100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.