Azen Health Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

AZEN HEALTH INC

Practice address

57 Vallejo Way
San Rafael, CA 94903-2337

Phone

(415) 996-4793

Fax

(508) 213-3565

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Theresa Kemnitz, DONPI 1033419338

Title

President

Phone

(415) 996-4793

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Theresa Kemnitz, D.O.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1033419338
  NPD Authorized official
• Cleda Odiwe

  • Assisted Living Facility
  • Novato, CA
  • NPI 1316802291
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1376119008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NORTHGATE DR # 168",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032500",
            "fax_number": "508-213-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 VALLEJO WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032337",
            "telephone_number": "415-996-4793",
            "fax_number": "508-213-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZEN HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "KEMNITZ",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-996-4793",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Awamleh, FNP
• Alexis Megan Axt
• Kathleen Marie Ayers, PSY D
• Yeonbi Aylward, PHARMD
• Ali Azarpira
• Dalia Sharona Azizi, PA STUDENT
• Jeffrey Babes
• Margarita Baca, N.P.
• Tyler Michael Bacarro
• Sharyn Baccei

• Geriatric Medicine (Internal Medicine) Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.