Azusa Morimoto, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10200196 Issued in CA

Practice address

609 Deep Valley Dr Ste 200
Rolling Hills Estates, CA 90274-3614

Phone

(310) 795-7327

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medexa Medical Group, Corporation

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1982417101
  Medicare reassignment NPD
• Advanced Foot & Ankle

  • Podiatrist
  • Cedar City, UT
  • NPI 1225107766
  NPD (past)

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1306444880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 DEEP VALLEY DR. SUITE 200",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902741840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 DEEP VALLEY DR STE 200",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743614",
            "telephone_number": "310-795-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIMOTO",
        "first_name": "AZUSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10200196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T. Chan DMD Inc.
• Beppy Albers Michel, MFT
• Karen Pyle Miller, LMFT
• Mission Prep Healthcare
• Gabriel Marcos Mizraji, DDS, MS
• Desiree R Mosher, RD
• Mariam Nadi, DDS
• Nancy M. Honda, O.D.
• William Michael Nash, D.M.D
• Sandra Marie Nemeth, DMD

• Family Nurse Practitioner in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.