Individual provider Active NPI

Hessam Aazami, M.D.

  • General Practice Physician
  • Canoga Park, CA
National Provider Identifier
1144299173
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A85704 Issued in 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
Last updated
May 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A85704 CA Primary

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

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
I20040420001733 CA Practitioner - General Practice 1052307709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CorpGroup PAC ID 5890831580, 2 clinicians

Practice addresses (Care Compare)

23101 Sherman PL
Suite 410
West Hills, CA 91307-2026
Phone (818) 312-9101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85704CAMDPharmacist
A85704CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
101 Family Medical Group,a Professional Corp CurrentSince Sep 1, 2009 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1144299173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY",
            "address_2": "SUITE #101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031844",
            "telephone_number": "818-312-9101",
            "fax_number": "818-312-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY",
            "address_2": "SUITE #101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031844",
            "telephone_number": "818-312-9101",
            "fax_number": "818-312-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AAZAMI",
        "first_name": "HESSAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A85704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.