Organization Active NPI

Welim Azinge MD Inc

  • Family Medicine Physician
  • El Centro, CA
National Provider Identifier
1194274167
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A126925 Issued in CA
Legal business name
WELIM AZINGE MD INC
Practice address
2026 N. Imperial Ave.
Suite D
El Centro, CA 92243
Phone
(760) 693-5372
Fax
(760) 693-5375
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Welim Azinge, MDNPI 1093036543
Title
President
Phone
(619) 916-3177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A126925 CA Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X A126925 CA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A126925 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A126925 CA
Health Service Clinic/Center 261QH0100X A126925 CA
Adult Mental Health Clinic/Center 261QM0850X A126925 CA
Multi-Specialty Clinic/Center 261QM1300X A126925 CA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A126925 CA
Substance Abuse Rehabilitation Facility 324500000X A126925 CA

Addresses

Primary practice location

2026 N. Imperial Ave.
Suite D
El Centro, CA 92243

Mailing address

9880 N. Magnolia Ave.
Box 200
Santee, CA 92040
Phone (619) 916-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170621000376 CA Part B Supplier - Clinic/Group Practice 8628346350 Receives reassigned benefits from 1 practitioner
Practice locations: El Centro, CA

National Provider Directory

National Provider Directory

Locations

9880 N Magnolia Ave
#200
Santee, CA 92071

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DACDBD

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1194274167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 N. MAGNOLIA AVE.",
            "address_2": "BOX 200",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92040",
            "telephone_number": "619-916-3177",
            "fax_number": "619-757-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N. IMPERIAL AVE.",
            "address_2": "SUITE D",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-693-5372",
            "fax_number": "760-693-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELIM AZINGE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "AZINGE",
        "authorized_official_first_name": "WELIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-916-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A126925",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A126925",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A126925",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A126925",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A126925",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A126925",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A126925",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "A126925",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "A126925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.