Active NPI
Welim Azinge MD Inc
- Family Medicine Physician
- El Centro, CA
National Provider Identifier
1194274167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A126925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Welim Azinge, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A126925 | CA | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | A126925 | CA | |
| Surgery Physician | 208600000X | A126925 | CA | |
| General Practice Physician | 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
National Provider Directory
National Provider DirectoryLocations
9880 N Magnolia Ave
#200
Santee, CA 92071
Interoperability endpoints
- 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.
-
- Adult Medicine Physician
- El Centro, CA
- NPI 1093036543
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.