Individual provider Active NPI

Maher A. Azer, M.D.

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1124097548
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A24828 Issued in CA
Practice address
3810 Katella Ave
2ND Floor
Los Alamitos, CA 90720-3302
Phone
(562) 426-8881
Fax
(562) 594-8085
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A24828 CA Primary

Addresses

Primary practice location

3810 Katella Ave
2ND Floor
Los Alamitos, CA 90720-3302

Mailing address

3810 Katella Ave
2ND Floor
Los Alamitos, CA 90720-3302
Phone (562) 426-8881

Other identifiers 5

IdentifierTypeStateIssuer
ZZZ22408ZOtherCANORTHERN MEDICARE GRP #
WA24828AOtherCAMEDICARE IDENTIFICATION N
00A248280MedicaidCA
GR0092370OtherCAMEDCAID GRP #
W1985OtherCASOUTHERN MEDICARE GRP #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000030 CA Practitioner - NephrologyPractitioner - Internal Medicine 9638169964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3812 Katella Ave
Los Alamitos, CA 90720-3302
Phone (562) 426-8881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A24828CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Dialysis Center PastSince Feb 1, 2001 Accepting new patients
Moreno Valley Dialysis Center Past Accepting new patients
Los Alamitos Hemodialysis Center, Inc. Past Accepting new patients
Mobile Dialysis Services, Inc. PastSince Oct 23, 2006 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1124097548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 KATELLA AVE",
            "address_2": "2ND FLOOR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203302",
            "telephone_number": "562-426-8881",
            "fax_number": "562-594-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 KATELLA AVE",
            "address_2": "2ND FLOOR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203302",
            "telephone_number": "562-426-8881",
            "fax_number": "562-594-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZER",
        "first_name": "MAHER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A24828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHERN MEDICARE GRP #",
            "identifier": "ZZZ22408Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION N",
            "identifier": "WA24828A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A248280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCAID GRP #",
            "identifier": "GR0092370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN MEDICARE GRP #",
            "identifier": "W1985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.