Individual provider Active NPI

Amir Ali Rahnemai Azar, M.D.

  • Surgical Oncology Physician
  • Pasadena, CA
National Provider Identifier
1023339496
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A163254 Issued in CA
Practice address
PO Box 123
Pasadena, CA 91102-0123
Phone
(310) 571-5430
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A163254 CA
Surgical Oncology Physician 2086X0206X A163254 CA Primary

Addresses

Primary practice location

PO Box 123
Pasadena, CA 91102-0123

Mailing address

PO Box 123
Pasadena, CA 91102-0123
Phone (310) 571-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211000371 CA Practitioner - Surgical OncologyPractitioner - General Surgery 8921310574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cal Med Physicians and Surgeons IncGroup PAC ID 4385556687, 34 clinicians

Practice addresses (Care Compare)

1420 S Central Ave
Glendale, CA 91204-2508
Phone (909) 255-0707

1800 Medical Ctr Dr
Suite 100
San Bernardino, CA 92411-1232
Phone (909) 255-0707

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 255-0707

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3353

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (909) 255-0707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A163254CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Academic Surgical Consultants Inc Surgery CurrentSince Dec 15, 2025 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Surgery CurrentSince Sep 1, 2020 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

400 N Pepper Ave
Ste 308
Colton, CA 92324
Phone (909) 580-1366

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1800 Medical Center Dr
Ste 100
Sn Bernrdno, CA 92411
Phone (909) 255-0707

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1023339496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911020123",
            "telephone_number": "310-571-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911020123",
            "telephone_number": "310-571-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHNEMAI AZAR",
        "first_name": "AMIR ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A163254",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A163254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.