Individual provider Active NPI

Azizeh Asgari, M.D.

  • Gynecology Physician
  • Pacific Palisades, CA
National Provider Identifier
1396760120
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A48989 Issued in CA
Practice address
16040 W Sunset Blvd
Apt 205
Pacific Palisades, CA 90272-3462
Phone
(818) 613-6046
Fax
(310) 310-3146
NPI assigned
Jul 13, 2006
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 27528 OK
Gynecology Physician 207VG0400X A48989 CA Primary

Addresses

Primary practice location

16040 W Sunset Blvd
Apt 205
Pacific Palisades, CA 90272-3462

Mailing address

16040 W Sunset Blvd
Apt 205
Pacific Palisades, CA 90272-3462
Phone (818) 613-6046

Other identifiers 1

IdentifierTypeStateIssuer
200271700AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323002399 CA Practitioner - Obstetrics/Gynecology 6406838150 Reassigns benefits to 2 organizations
Practice locations: Van Nuys, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone (818) 365-8086

7107 Remmet Ave
Canoga Park, CA 91303-2016
Phone (818) 340-3570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48989CAMDGeneral Practice Dentistry
27528OKMDObstetrics & Gynecology Physician
A48989CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The West Oakland Health Council CurrentSince Oct 3, 2016 Accepting new patients
Northeast Valley Health Corporation CurrentSince Mar 3, 2020 Accepting new patients
The West Oakland Health Council CurrentSince Oct 3, 2016 Accepting new patients
The West Oakland Health Council Current Accepting new patients
Northeast Valley Health Corporation CurrentSince Mar 3, 2020 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
Azizeh Asgari, MD, Inc. Gynecology Past Accepting new patients
Azizeh Asgari MD Obstetrics & Gynecology PastSince Jan 3, 1994 Accepting new patients
The West Oakland Health Council Past Accepting new patients

Locations

7107 Remmet Ave
Canoga Park, CA 91303
Phone (818) 340-3570

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

23413 Lyons Ave
Valencia, CA 91355
Phone (661) 593-7500

23763 Valencia Blvd
Valencia, CA 91355
Phone (661) 287-1551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: azizeh.asgari.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1396760120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 W SUNSET BLVD",
            "address_2": "APT 205",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723462",
            "telephone_number": "818-613-6046",
            "fax_number": "310-310-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 W SUNSET BLVD",
            "address_2": "APT 205",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723462",
            "telephone_number": "818-613-6046",
            "fax_number": "310-310-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGARI",
        "first_name": "AZIZEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "27528",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A48989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200271700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

Verify at the official NPI Registry.