Individual provider Active NPI

Fatima Kazem, M.D.

  • Diagnostic Radiology Physician
  • Del Mar, CA
National Provider Identifier
1083673644
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A84658 Issued in CA
Practice address
14212 Minorca CV
Del Mar, CA 92014-2933
Phone
(858) 546-3800
Fax
(858) 546-3900
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A84658 CA Primary

Addresses

Primary practice location

14212 Minorca CV
Del Mar, CA 92014-2933

Mailing address

14212 Minorca CV
Del Mar, CA 92014-2933
Phone (858) 546-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040707000376 CA Practitioner - Diagnostic Radiology 9335126333 Reassigns benefits to 2 organizations
I20170130001826 AZ Practitioner - Diagnostic Radiology 9335126333 Reassigns benefits to 11 organizations
I20210303000743 LA Practitioner - Diagnostic Radiology 9335126333

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (832) 915-2534

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (832) 915-2534

33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (832) 915-2534

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (832) 915-2534

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (832) 915-2534

9220 E Mountain View Rd
Suite 100
Scottsdale, AZ 85258-5134
Phone (480) 425-5000

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Sep 10, 2021 Accepting new patients
Kennewick Radiology Group PC Diagnostic Radiology CurrentSince Feb 9, 2019 Accepting new patients
Benson Hospital Corporation CurrentSince Mar 20, 2017 Accepting new patients
County of San Joaquin CurrentSince Jul 12, 2017 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2020 Accepting new patients
Benson Hospital Corporation CurrentSince Mar 20, 2017 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Feb 3, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of San Joaquin CurrentSince Jul 12, 2017 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Nov 28, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2020 Accepting new patients
Regents of the University of California Diagnostic Radiology Past Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients
Tsenovoy Medical PC Past Accepting new patients
Casa Grande Community Hospital Past Accepting new patients
Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Intellirad Imaging, LLC Diagnostic Radiology Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations (25 of 31)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

1515 E Bethany Home Rd
Phoenix, AZ 85014
Phone (602) 812-3080

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

26520 N Alma School Rd
Scottsdale, AZ 85255
Phone (612) 230-6757

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

1625 N Campbell Ave
Tucson, AZ 85719

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fatima.kazem.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: fkazem81181@scrippshlth.medalliesdirect.net

Organizations & group practices 25

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

View all 25

Hospital & facility affiliations 2

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1083673644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 MINORCA CV",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142933",
            "telephone_number": "858-546-3800",
            "fax_number": "858-546-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14212 MINORCA CV",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142933",
            "telephone_number": "858-546-3800",
            "fax_number": "858-546-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEM",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A84658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.