Individual provider Active NPI

Azin Asli, PH.D.

  • Clinical Psychologist
  • Orange, CA
National Provider Identifier
1013005842
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15233 Issued in CA
Practice address
500 City Pkwy W Ste 200
Orange, CA 92868-2941
Phone
(714) 834-5015
NPI assigned
Oct 10, 2006
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY15233 CA Primary

Addresses

Primary practice location

500 City Pkwy W Ste 200
Orange, CA 92868-2941

Mailing address

500 City Pkwy W Ste 200
Orange, CA 92868-2941
Phone (714) 480-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15233CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Feb 7, 2021 Accepting new patients

Locations

500 City Pkwy W
Ste 200
Orange, CA 92868
Phone (714) 480-6600

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1013005842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CITY PKWY W STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682941",
            "telephone_number": "714-480-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CITY PKWY W STE 200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682941",
            "telephone_number": "714-834-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLI",
        "first_name": "AZIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.