Individual provider Active NPI

Edward Shibli Azar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ontario, CA
National Provider Identifier
1003291832
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5241 Issued in CA
Practice address
534 N Campus Ave
Ontario, CA 91764-3302
Phone
(213) 537-2927
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5241 CA Primary

Addresses

Primary practice location

534 N Campus Ave
Ontario, CA 91764-3302

Mailing address

534 N Campus Ave
Ontario, CA 91764-3302
Phone (213) 537-2927

Other practice location 1

9675 Monte Vista Ave Ste D
Montclair, CA 91763-2213
Phone (213) 537-2927

Other practice location 2

5858 Magnolia Ave Ste A
Riverside, CA 92506-1885
Phone (213) 537-2927

Other practice location 3

7111 Indiana Ave Fl 2
Riverside, CA 92504-4556
Phone (213) 537-2927

Other practice location 4

9675 Monte Vista Ave Ste E
Montclair, CA 91763-2213
Phone (213) 537-2927

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160519002286 NY Practitioner - Podiatry 9537461744 Practice locations: Brooklyn, NY
I20161026002275 CA Practitioner - Podiatry 9537461744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 California St
Redlands, CA 92374-2910
Phone (909) 809-3222

9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (213) 537-2927

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue122
Removal of nail tissue262
Removal or shaving of skin growth61
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006750NYMDClinical Psychologist
E5241CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Mar 18, 2017 Accepting new patients
Azar Foot & Ankle Specialist Foot & Ankle Surgery CurrentSince Aug 4, 2016 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Azar Foot & Ankle Specialist Foot & Ankle Surgery CurrentSince Aug 4, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 18, 2017 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Azar Foot and Ankle Specialist Foot & Ankle Surgery Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Azar Foot & Ankle Specialist Foot & Ankle Surgery Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery PastSince Sep 13, 2020 Accepting new patients
Brooklyn Hospital Center Past Accepting new patients
Azar Foot & Ankle Specialist Foot & Ankle Surgery PastSince Mar 24, 2024 Accepting new patients
Azar Foot & Ankle Specialist Foot & Ankle Surgery Past Accepting new patients

Locations

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

9675 Monte Vista Ave
Ste D
Montclair, CA 91763
Phone (213) 537-2927

9675 Monte Vista Ave
Ste E
Montclair, CA 91763
Phone (213) 537-2927

13925 Indian St
Moreno Valley, CA 92553
Phone (213) 537-2927

534 N Campus Ave
Ontario, CA 91764

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

7111 Indiana Ave
#2
Riverside, CA 92504

5858 Magnolia Ave
Ste A
Riverside, CA 92506
Phone (213) 537-2927

9939 Magnolia Ave
Riverside, CA 92503
Phone (951) 687-8802

7111 Indiana Ave
Fl 2
Riverside, CA 92504
Phone (213) 537-2927

721 Monterey Blvd
San Francisco, CA 94127
Phone (415) 516-4969

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1003291832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 N CAMPUS AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643302",
            "telephone_number": "213-537-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N CAMPUS AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643302",
            "telephone_number": "213-537-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9675 Monte Vista Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632213",
            "country_code": "US",
            "telephone_number": "213-537-2927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5858 Magnolia Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925061885",
            "country_code": "US",
            "telephone_number": "213-537-2927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7111 Indiana Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925044556",
            "country_code": "US",
            "telephone_number": "213-537-2927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9675 Monte Vista Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632213",
            "country_code": "US",
            "telephone_number": "213-537-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAR",
        "first_name": "EDWARD",
        "middle_name": "SHIBLI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "CAREQUALITY",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.