Hessam Aazami, M.D.
Individual provider Active NPI General Practice Physician · Canoga Park, CA
NPI 1144299173 · NPPES record last updated May 6, 2010
Key facts
- NPI
- 1144299173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A85704 (CA)
- Practice address
- 22030 Sherman Way
Suite #101
Canoga Park, CA 91303-1844 - Phone
- (818) 312-9101
- Fax
- (818) 312-9100
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- 101 Family Medical Group,a Professional Corp
Practice addresses (Care Compare)
23101 Sherman PL
Suite 410
West Hills, CA 91307-2026
Phone (818) 312-9101
Hospital & facility affiliations
- Loyal Home Health Services
- Art Home Health Care, Inc
- Northridge Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040420001733 | CA | Practitioner - General Practice | 1052307709 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85704 | CA | MD | Pharmacist |
| A85704 | CA | MD | General Practice Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 101 Family Medical Group,a Professional Corp | Current |
Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Four M Medical Mart a Medical Corporation | Past | Accepting new patients | |
| Valley Presbyterian Hospital | Past | Accepting new patients |
Locations
22030 Sherman Way
Ste 101
Canoga Park, CA 91303
Phone (818) 312-9101
23101 Sherman Pl
Ste 410
West Hills, CA 91307
Phone (818) 312-9101
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A85704 | CA | Yes |
Addresses
Primary practice location
22030 Sherman Way
Suite #101
Canoga Park, CA 91303-1844
Mailing address
22030 Sherman Way
Suite #101
Canoga Park, CA 91303-1844
Phone (818) 312-9101
Other providers in Canoga Park, CA
- Aaa Care RX Inc
- Aaa Hospice Care Solutions
- Aaa Nursing Services, Inc.
- Aaaseniorservices.Com
- Jason Allan Aaronson
- Erwin Gavilan Abad
- Rose Marie Abad
- Sofia Abad
- Eliza Abajyan
- Abel Abarca
All providers in Canoga Park, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.