Zaher Azzawi, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A48743 Issued in CA

Practice address

10841 White Oak Ave
Ste # 107
Rancho Cucamonga, CA 91730-3811

Phone

(909) 483-8361

Fax

(909) 483-2070

NPI assigned

Jan 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Inland Empire Extra Care Inc.

  • Basic Emergency Medical Technician
  • Rancho Cucamonga, CA
  • NPI 1750551719
  Medicare reassignment NPD Authorized official
• KND Development 59 LLC

  • Hospitalist Physician
  • Santa Ana, CA
  • NPI 1740519081
  Medicare reassignment NPD
• Inland Empire Extra Care

  • Health Maintenance Organization
  • Rancho Cucamonga, CA
  • NPI 1942590351
  NPD Authorized official
• KND Development 59 LLC

  • Hospitalist Physician
  • Rancho Cucamonga, CA
  • NPI 1487959581
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1184809337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "STE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-483-8361",
            "fax_number": "909-483-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "STE # 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-483-8361",
            "fax_number": "909-483-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZAWI",
        "first_name": "ZAHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahdad Azmoon, M.D.
• Lauren Azzam, MSOTR/L
• Azzawi Dental Inc
• Ayah Azzawi
• Maher Azzawi, DDS
• B. Deirmenjian, DDS, Inc
• B.Crawford Chiropractic, Professional Corporation
• Bolaji Gabriel Babatunde, DHA, CPHQ
• Ranee Babu
• Ashley Bacci

• Specialist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.