Haifa Azawi, M.D.
Individual provider Active NPI Gynecology Physician · Paramount, CA
NPI 1366451908 · NPPES record last updated May 7, 2020
Key facts
- NPI
- 1366451908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- A40702 (CA)
- Practice address
- 16660 Paramount Blvd
Suite 105
Paramount, CA 90723-5433 - Phone
- (562) 529-7550
- Fax
- (562) 529-7062
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070319000544 | CA | Practitioner - Obstetrics/Gynecology | 8628019502 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40702 | CA | MD | Gynecology Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leisure World Medical Group, Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | A40702 | CA | |
| Gynecology Physician | 207VG0400X | A40702 | CA | Yes |
Addresses
Primary practice location
16660 Paramount Blvd
Suite 105
Paramount, CA 90723-5433
Mailing address
16660 Paramount Blvd
105
Paramount, CA 90723-5433
Phone (562) 529-7550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A40702 | Other | CA | MEDICAL STATE LICENSE# |
| 00A263141 | Medicaid | CA | |
| 160056715 | Other | CA | MEDICARE RAILROAD ID |
| 95-4037933 | Medicaid | CA |
Other providers in Paramount, CA
- Atlantic Recovery Services
- Atlantic Recovery Services
- Atlantic Recovery Services
- Aya Alternative Corporation
- Ziyad Ayyoub
- Back to Work Orthopedic Medical Group
- Back to Work Orthopedic Medical Group
- Alexa Baghdassarian
- Cynthia Elizabeth Barcenas
- Janet Basurto Lopez
All providers in Paramount, CA · Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.