Individual provider Active NPI

Masoud M Azizad, MD

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1033174826
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74207 Issued in CA
Practice address
18433 Roscoe Blvd
#208
Northridge, CA 91325-4108
Phone
(818) 341-4401
Fax
(818) 341-4402
NPI assigned
Apr 18, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74207 CA Primary

Addresses

Primary practice location

18433 Roscoe Blvd
#208
Northridge, CA 91325-4108

Mailing address

18433 Roscoe Blvd
#208
Northridge, CA 91325-4108
Phone (818) 341-4401

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
I20060308000330 CA Practitioner - Internal Medicine 7315954989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18350 Roscoe Blvd
Suite 500
Northridge, CA 91325-4175
Phone (818) 341-4401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as individual
Quality
78.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74207CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vascular Partners Inc CurrentSince Jun 21, 2019 Accepting new patients
Christopher G Chow MD Inc Internal Medicine PastSince Jan 1, 2005 Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

19231 Victory Blvd
Ste 155
Reseda, CA 91335
Phone (818) 457-4512

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: masoud.azizad.1@2147.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1033174826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "address_2": "#208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254108",
            "telephone_number": "818-341-4401",
            "fax_number": "818-341-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "address_2": "#208",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254108",
            "telephone_number": "818-341-4401",
            "fax_number": "818-341-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZAD",
        "first_name": "MASOUD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.