Active NPI
Ibrahim W Azer, MD
- Surgery Physician
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A151984
- Practice address
- 450 E Yosemite Ave Ste D
Merced, CA 95340-8429 - Phone
- (350) 225-3602
- Fax
- (909) 752-8719
- NPI assigned
- Jul 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A151984 | CA | Primary |
Addresses
Primary practice location
450 E Yosemite Ave Ste D
Merced, CA 95340-8429
Mailing address
450 E Yosemite Ave Ste D
Merced, CA 95340-8429
Phone (350) 225-3602
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18523 Corwin Rd
Suite a
Apple Valley, CA 92307-2300
Phone (407) 335-6950
Hospital & facility affiliations
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151984 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J Wisniewski DO Inc | Surgery | Current | Accepting new patients |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Kingsbrook Medical Associates PC | Past | Accepting new patients | |
| Kingsbrook Medical Associates, PC | Past | Accepting new patients |
Locations
18523 Corwin Rd
Ste A
Apple Valley, CA 92307
Phone (760) 946-3876
450 E Yosemite Ave
Ste D
Merced, CA 95340
Phone (209) 722-3924
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Trauma Surgery Physician
- Apple Valley, CA
- NPI 1780433698
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1093979205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E YOSEMITE AVE STE D",
"city": "MERCED",
"state": "CA",
"postal_code": "953408429",
"telephone_number": "350-225-3602",
"fax_number": "909-752-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E YOSEMITE AVE STE D",
"city": "MERCED",
"state": "CA",
"postal_code": "953408429",
"telephone_number": "350-225-3602",
"fax_number": "909-752-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZER",
"first_name": "IBRAHIM",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A151984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.