Individual provider Active NPI

Bernard M. Azer, D.O.

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1285686220
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A7817 Issued in CA
Practice address
3810 Katella Ave
Los Alamitos, CA 90720-3302
Phone
(562) 426-8881
Fax
(562) 594-8085
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20A7817 CA Primary

Addresses

Primary practice location

3810 Katella Ave
Los Alamitos, CA 90720-3302

Mailing address

3810 Katella Ave
Los Alamitos, CA 90720-3302
Phone (562) 426-8881

Other identifiers 5

IdentifierTypeStateIssuer
GR0092370OtherCAMEDICAL GRP #
W20A7817AOtherCASOUTHERN MEDICARE
W1985OtherCASOUTHERN MEDICARE GRP #
00AX78170OtherCANORTHERN MEDICARE/MEDICAL
ZZZ22408ZOtherCANORTHERN MEDICARE GRP #

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
I20100902000858 CA Practitioner - NephrologyPractitioner - Internal Medicine 9739203381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3812 Katella Ave
Los Alamitos, CA 90720-3302
Phone (562) 426-8881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7817CAMDSpecialist
7817CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard Azer, DO, Inc. Specialist CurrentSince Jan 15, 2011 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

3812 Katella Ave
Los Alamitos, CA 90720
Phone (562) 426-8881

3810 Katella Ave
Los Alamitos, CA 90720
Phone (562) 426-8881

351 W Florence Ave
Los Angeles, CA 90003
Phone (323) 447-7129

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1285686220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203302",
            "telephone_number": "562-426-8881",
            "fax_number": "562-594-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203302",
            "telephone_number": "562-426-8881",
            "fax_number": "562-594-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZER",
        "first_name": "BERNARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A7817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL GRP #",
            "identifier": "GR0092370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN MEDICARE",
            "identifier": "W20A7817A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN MEDICARE GRP #",
            "identifier": "W1985",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHERN MEDICARE/MEDICAL",
            "identifier": "00AX78170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHERN MEDICARE GRP #",
            "identifier": "ZZZ22408Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.