Individual provider Active NPI

Nima Eypakchi Azimi

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1093336901
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A211185 Issued in CA
Practice address
7901 Frost St
San Diego, CA 92123-2701
Phone
(858) 939-3600
NPI assigned
May 1, 2020
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A211185 CA Primary
Diagnostic Radiology Physician 2085R0202X 1022351 MA

Addresses

Primary practice location

7901 Frost St
San Diego, CA 92123-2701

Mailing address

9655 Granite Ridge Dr Ste 200
San Diego, CA 92123-2676

Other practice location 1

55 Fruit St
Boston, MA 02114-2696
Phone (617) 999-0782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250724003325 MA Practitioner - Diagnostic Radiology 8022525187 Reassigns benefits to 3 organizations
I20250801003308 NH Practitioner - Diagnostic Radiology 8022525187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

151 Everett Ave
Chelsea, MA 02150-1812
Phone (617) 884-8300

440 Foley St
Somerville, MA 02145-1213
Phone (857) 282-0777

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

67 Corporate Dr
Portsmouth, NH 03801-2847

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 5, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 5, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

62 13th St
Charlestown, MA 02129
Phone (617) 724-3874

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

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 7

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1093336901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 GRANITE RIDGE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232701",
            "telephone_number": "858-939-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-999-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "NIMA",
        "middle_name": "EYPAKCHI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A211185",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1022351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.