Children'S Infectious Disease Medical Group, Inc.

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

A24963 Issued in CA

Legal business name

CHILDREN'S INFECTIOUS DISEASE MEDICAL GROUP, INC.

Practice address

747 52ND St
Oakland, CA 94609-1809

Phone

(510) 428-3336

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Parvin H. Azimi, MDNPI 1316981061

Title

Ceo

Phone

(510) 428-3336

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parvin Hadji Azimi, M.D.

  • Specialist
  • Oakland, CA
  • NPI 1316981061
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285855668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 THE UPLANDS",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052833",
            "telephone_number": "510-843-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S INFECTIOUS DISEASE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZIMI",
        "authorized_official_first_name": "PARVIN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-428-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "A24963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Hospital and Research Center-Oakland
• Children'S Hospital Oakland
• Children'S Hospital Oakland
• Children'S Hospital Oakland
• Children'S Hospital Research Center Oakland
• Children'S Neurosurgical Associates, Inc.
• Children'S Orthopaedic Associates Medical Group, Inc.
• Children'S Pathology Consultants Medical Corp., Inc.
• Childrens Anesthesia Medical Group Inc
• Childrens Hospital & Research Center at Oakland

• Pediatric Infectious Diseases Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Infectious Diseases Physician in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.