Kent H Azaren MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KENT H AZAREN MD INC

Doing business as

Associates in General Surgery

Practice address

701 East 28TH Street
#201
Long Beach, CA 90806

Phone

(562) 424-0421

Fax

(562) 427-8005

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Barbara Dell Robinson

Title

Administrator/Cfo

Phone

(562) 424-0421

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Associates in General Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Tanaka Islas, MD

  • Surgery Physician
  • Long Beach, CA
  • NPI 1629140678
  Medicare reassignment NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093934556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EAST 28TH STREET #201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-424-0421",
            "fax_number": "562-427-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST 28TH STREET",
            "address_2": "#201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-424-0421",
            "fax_number": "562-427-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT H AZAREN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "562-424-0421"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in General Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associates in General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert M Kennedy, DC
• Tyler Kennedy
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• Kenneth M. Lee Chiropractic, Inc.
• Kenny Abedini DDS Inc.
• Tracey Kent
• Travis Kent
• Samuel Navy Keo, PSY.D.
• Seihadanyzeth Keo
• Kereem Husain Dental Corporation (High Five Pediatric Dentistry)

• Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.