Active NPI
Masoud M Azizad MD Inc
- Internal Medicine Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A74207
- Legal business name
- MASOUD M AZIZAD MD INC
- Practice address
- 18433 Roscoe Blvd
#208
Northridge, CA 91325-4108 - Phone
- (818) 341-4401
- Fax
- (818) 341-4402
- NPI assigned
- May 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Masoud M Azizad, MD
- Title
- Ceo
- Phone
- (818) 341-4401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A74207 | CA | Primary |
Addresses
Primary practice location
18433 Roscoe Blvd
#208
Northridge, CA 91325-4108
Mailing address
18433 Roscoe Blvd
208
Northridge, CA 91325-4108
Phone (818) 341-4401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1001519 | Masoud M Azizad MD | Certificate of waiver | Jul 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
18433 Roscoe Blvd
Ste 208
Northridge, CA 91325
Phone (818) 341-4401
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Northridge, CA
- NPI 1033174826
-
- Endocrinology, Diabetes & Metabolism Physician
- Northridge, CA
- NPI 1598720351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1376501080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18433 ROSCOE BLVD",
"address_2": "208",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254108",
"telephone_number": "818-341-4401",
"fax_number": "818-341-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18433 ROSCOE BLVD",
"address_2": "#208",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254108",
"telephone_number": "818-341-4401",
"fax_number": "818-341-4402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASOUD M AZIZAD MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "AZIZAD",
"authorized_official_first_name": "MASOUD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-341-4401",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A74207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.