Robert Azizi, MD Inc.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

ROBERT AZIZI, MD INC.

Practice address

8218 Garfield Ave
Bell Gardens, CA 90201-6212

Phone

(833) 736-3988

Fax

(323) 943-3150

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Robert Azizi, MDNPI 1316101298

Title

Owner

Phone

(310) 409-9059

Specialties & licenses 1

Addresses

Other names 2

• Renew Vein Vascular Doing business as
• Vascular Interventions Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Robert Azizi, MD

  • Vascular & Interventional Radiology Physician
  • Bell Gardens, CA
  • NPI 1316101298
  Medicare reassignment NPD Authorized official
• Sung Hyun Kim, M.D

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1447665369
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1003402884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016212",
            "telephone_number": "833-736-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 GARFIELD AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016212",
            "telephone_number": "833-736-3988",
            "fax_number": "323-943-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT AZIZI, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-409-9059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Vein Vascular",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vascular Interventions Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Frychettya Randall, PHD, MA
• Oliver Raya
• Renew Surgery Centers Inc.
• Norma Yanet Reyes Bravo
• Leny Rachel Rivas
• Maria Guadalupe Rodriguez, RNP
• Nira Rodriguez
• Marielena Rubio
• Evette Ruiz, M.D.
• Miguel Angel Ruiz, DDS

• Vascular & Interventional Radiology Physician in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.