Active NPI
Fay M. Azad, MD
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1376647313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A41441
- Practice address
- 12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071 - Phone
- (818) 889-8555
- Fax
- (000) 000-0000
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A41441 | CA | Primary |
Addresses
Primary practice location
12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071
Mailing address
12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071
Phone (818) 889-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1376647313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12636 HIGH BLUFF DR STE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302071",
"telephone_number": "818-889-8555",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12636 HIGH BLUFF DR STE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302071",
"telephone_number": "818-889-8555",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAD",
"first_name": "FAY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A41441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Nicole Mae Ketring Ayson, M.D.
- Edward Ayub, RPT
- Gisela Ayub, DNP, PMHNP-BC
- Cyrus Emil Ayubcha
- Estelle Ayyad, PA-C
- Azadeh Khajavi DMD Inc
- Hedieh Azadmehr, PH.D
- Rahab Barde Azaki
- Azam MD & McJunkin Medical Corp (Daydream MD Medical Centers)
- Azam MD & McJunkin Prof Corp (Daydream MD Integrative Health & Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.