Active NPI
Azza Ayad, MD
- Pediatrics Physician
- Yorba Linda, CA
National Provider Identifier
1245278928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A035256
- Practice address
- 18200 Yorba Linda Blvd
Suite 108
Yorba Linda, CA 92886-4056 - Phone
- (714) 524-6977
- NPI assigned
- Jun 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A035256 | CA | Primary |
Addresses
Primary practice location
18200 Yorba Linda Blvd
Suite 108
Yorba Linda, CA 92886-4056
Mailing address
18200 Yorba Linda Blvd
Suite 401
Yorba Linda, CA 92886-4056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A352560 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A035256 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Jude Hospital Inc | Past | Accepting new patients | |
| Caduceus Physicians Medical Group | Pediatrics | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1497702724
Pediatrics
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245278928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 YORBA LINDA BLVD",
"address_2": "SUITE 401",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 YORBA LINDA BLVD",
"address_2": "SUITE 108",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864056",
"telephone_number": "714-524-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYAD",
"first_name": "AZZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A035256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A352560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.