NPIMap

Organization Active NPI

Syed F Azam Medical Associates Inc

  • Specialist
  • Rancho Mirage, CA
National Provider Identifier
1396749941
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SYED F AZAM MEDICAL ASSOCIATES INC
Practice address
35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772
Phone
(760) 202-0686
Fax
(760) 770-4563
NPI assigned
Jun 10, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Farzana Jabeen Qureshi, M.D.NPI 1790781334
Title
Doctor
Phone
(760) 202-0686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 14

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

View all 14

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000749 CA Part B Supplier - Clinic/Group Practice 8921907080 Receives reassigned benefits from 5 practitioners
Practice locations: Rancho Mirage, CA

National Provider Directory

National Provider Directory

Locations

161 W Ramsey St
Bldg 2
Banning, CA 92220
Phone (760) 202-0686

161 W Ramsey St
Banning, CA 92220

74350 Country Club Dr
Palm Desert, CA 92260
Phone (760) 341-0261

35400 Bob Hope Dr
Ste 210
Rancho Mirage, CA 92270
Phone (760) 202-0686

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772

Mailing address

35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772
Phone (760) 202-0686

Other practice location 1

791 Orchard Ave
Coachella, CA 92236-1730
Phone (760) 202-0686

Other names 1

NPPES NPI Registry
  • INDUS MEDICAL ASSOCIATES Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2021.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1396749941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 210",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 210",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Orchard Ave",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922361730",
            "country_code": "US",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYED F AZAM MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "FARZANA",
        "authorized_official_middle_name": "JABEEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "760-202-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDUS MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INDUS MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.