Azam MD & McJunkin Prof Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AZAM MD & MCJUNKIN PROF CORP

Practice address

3455 Ingraham St
San Diego, CA 92109-6713

Phone

(619) 937-2055

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Lisa Carolyn McJunkin, LMFTNPI 1215060991

Title

Coo

Phone

(619) 987-0158

Specialties & licenses 6

Addresses

Other names 2

• Daydream MD Integrative Health & Wellness Doing business as
• Daydream MD Trauma Recovery Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Lisa Carolyn McJunkin, LMFT

  • Marriage & Family Therapist
  • Escondido, CA
  • NPI 1215060991
  Medicare reassignment Care Compare group NPD Authorized official
• Arsalan S Azam

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1487053336
  Medicare reassignment Care Compare group NPD
• Paul D Sargent, MD

  • Psychiatry Physician
  • Encinitas, CA
  • NPI 1609990662
  Medicare reassignment NPD
• Robert Kirk Donaldson, M.A.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1922312875
  NPD
• Briana Gonzalez

  • Medical Physician Assistant
  • San Jose, CA
  • NPI 1902264021
  NPD (past)
• Kelly C Lucas, APCC

  • Counselor
  • San Diego, CA
  • NPI 1649141417
  NPD (past)

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1003681396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 MUIR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072102",
            "telephone_number": "619-937-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 INGRAHAM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096713",
            "telephone_number": "619-937-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAM MD & MCJUNKIN PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MCJUNKIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "619-987-0158",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daydream MD Integrative Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daydream MD Trauma Recovery Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Fay M. Azad, MD
• Azadeh Khajavi DMD Inc
• Hedieh Azadmehr, PH.D
• Rahab Barde Azaki
• Azam MD & McJunkin Medical Corp
• Azam MD PC
• Azam MD PC
• Arsalan S Azam
• Barbara Azambuja Jordan
• Nooshin Azami

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.