Individual provider Active NPI

Azeem Anjum, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • National City, CA
National Provider Identifier
1114516150
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95026593 Issued in CA
Practice address
610 Euclid Ave Ste 200
National City, CA 91950-2951
Phone
(619) 267-9257
Fax
(619) 267-9273
NPI assigned
Jan 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026593 CA Primary
Maternal Newborn Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WM0102X 95163409 CA

Addresses

Primary practice location

610 Euclid Ave Ste 200
National City, CA 91950-2951

Mailing address

13550 Grain LN
San Diego, CA 92129-2852
Phone (508) 523-1981

Other practice location 1

8772 Cuyamaca St Ste 104
Santee, CA 92071-4207
Phone (619) 258-6730

Other practice location 2

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 740-5024

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011003777 CA Practitioner - Nurse Practitioner 3173978103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Health Systems LPGroup PAC ID 7911901392, 16 clinicians

Practice addresses (Care Compare)

610 Euclid Ave
Suite 200
National City, CA 91950-2951
Phone (619) 267-9257

Merit-based Incentive Payment System (MIPS)

Final score
59.04 of 100Reported as group
Quality
10
Improvement activities
40
Cost
50.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95163409CAMDMaternal Newborn Registered Nurse
95026593CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Health Systems, L.P. Single Specialty CurrentSince Aug 29, 2023 Accepting new patients
Advanced TMS Clinic Inc Single Specialty CurrentSince Aug 29, 2023 Accepting new patients

Locations

2600 S Main St
Corona, CA 92882
Phone (951) 736-4700

3401 Cedar Ave
Long Beach, CA 90807
Phone (562) 426-4461

610 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 267-9257

1908 Sweetwater Rd
National City, CA 91950
Phone (619) 327-0146

2122 S El Camino Real
Ste 200
Oceanside, CA 92054
Phone (619) 267-9257

8772 Cuyamaca St
Ste 104
Santee, CA 92071
Phone (619) 258-6397

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1114516150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 GRAIN LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292852",
            "telephone_number": "508-523-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8772 Cuyamaca St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714207",
            "country_code": "US",
            "telephone_number": "619-258-6730",
            "fax_number": "619-448-8586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423019",
            "country_code": "US",
            "telephone_number": "619-740-5024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANJUM",
        "first_name": "AZEEM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026593",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95163409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.