Organization Active NPI

Mustaqeem a Qazi MD & Thi Kim Loan Pham MD

  • Internal Medicine Physician
  • Indio, CA
National Provider Identifier
1235218413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MUSTAQEEM A QAZI MD & THI KIM LOAN PHAM MD
Practice address
82013 Dr Carreon Blvd
Suite #C
Indio, CA 92201
Phone
(760) 863-0138
Fax
(760) 863-0471
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mustaqeem Ahmed Qazi, MDNPI 1184661753
Title
Doctor
Phone
(760) 863-0138

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

82013 Dr Carreon Blvd
Suite #C
Indio, CA 92201

Mailing address

82013 Dr Carreon Blvd
Suite #C
Indio, CA 92201
Phone (760) 863-0138

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1020675Mustaqeem a Qazi MD and82013 Dr Carreon Boulevard, Suite C, Indio, CA 92201Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

Locations

82013 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-0138

79440 Corporate Center Dr
Ste 11
La Quinta, CA 92253

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235218413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD",
            "address_2": "SUITE #C",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-863-0138",
            "fax_number": "760-863-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD",
            "address_2": "SUITE #C",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-863-0138",
            "fax_number": "760-863-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAQEEM A QAZI MD & THI KIM LOAN PHAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MUSTAQEEM",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "760-863-0138",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.