Individual provider Active NPI

Ehsan Azimi, MD

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1215457015
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A172626 Issued in CA
Practice address
9735 Wilshire Blvd Ste 220
Beverly Hills, CA 90212-2110
Phone
(310) 623-3200
Fax
(310) 623-1800
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A172626 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd Ste 220
Beverly Hills, CA 90212-2110

Mailing address

9735 Wilshire Blvd Ste 220
Beverly Hills, CA 90212-2110
Phone (310) 623-3200

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
I20210714001987 CA Practitioner - Dermatology 7719236249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Skin and SurgeryGroup PAC ID 9931563244, 3 clinicians

Practice addresses (Care Compare)

12555 W Jefferson Blvd
Suite 202
Los Angeles, CA 90066-7047
Phone (424) 543-0066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions25
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172626CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ehsan Azimi MD Dermatology Corp CurrentSince Jul 23, 2025 Accepting new patients
Sol Dermatology Associates Dermatology CurrentSince Nov 1, 2025 Accepting new patients
Socal Skin and Surgery Dermatology CurrentSince Aug 1, 2025 Accepting new patients

Locations

9735 Wilshire Blvd
Ste 220
Beverly Hills, CA 90212
Phone (310) 623-3200

12555 W Jefferson Blvd
Ste 202
Los Angeles, CA 90066
Phone (424) 541-1756

5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1215457015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122110",
            "telephone_number": "310-623-3200",
            "fax_number": "310-623-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 220",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122110",
            "telephone_number": "310-623-3200",
            "fax_number": "310-623-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "EHSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A172626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.