Anjum B Qazi M D a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A88843 Issued in CA

Legal business name

ANJUM B QAZI M D A PROFESSIONAL CORPORATION

Practice address

2173 Lomita Blvd Ste 104
Lomita, CA 90717-1636

Phone

(424) 305-4169

Fax

(310) 791-7409

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Anjum B Qazi, MDNPI 1538180492

Title

President

Phone

(310) 750-5359

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Anjum B Qazi, M.D.

  • Internal Medicine Physician
  • Lomita, CA
  • NPI 1538180492
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1124154703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 LOMITA BLVD STE 104",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171636",
            "telephone_number": "424-305-4169",
            "fax_number": "310-791-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 LOMITA BLVD STE 104",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171636",
            "telephone_number": "424-305-4169",
            "fax_number": "310-791-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJUM B QAZI M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "ANJUM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-750-5359",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lomita, CA
• Providers in Lomita, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.