Azhar Abdullah, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

154833 Issued in CA

Practice address

27261 Las Ramblas Ste 220
Mission Viejo, CA 92691-6468

Phone

(714) 966-8650

NPI assigned

Oct 17, 2014

Last updated

Feb 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Santa Barbara County County Auditor

  dba Calle Real Mental Health Services Center

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
  • NPI 1487857405
  Medicare reassignment Care Compare group NPD
• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Department of State Hospitals

  dba Department of State Hospitals - Patton

  • Psychiatric Hospital
  • Patton, CA
  • NPI 1043249204
  NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Santa Barbara County Auditor

  dba Santa Barbara County Public Health Department-Bridgehouse

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1417351503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27261 LAS RAMBLAS STE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916468",
            "telephone_number": "714-966-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27261 LAS RAMBLAS STE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916468",
            "telephone_number": "714-966-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 S Main St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443111064",
            "country_code": "US",
            "telephone_number": "210-430-9196",
            "fax_number": "888-745-3175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3102 E Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Patton",
            "state": "CA",
            "postal_code": "923697813",
            "country_code": "US",
            "telephone_number": "909-425-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "AZHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "154833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY NPI",
            "identifier": "1417351503",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria Abarca, DPT
• Abbi Care Inc
• Skylar Mason Abbott
• Shenoda Yousef Azmy Abd Elmaseh
• Iman Abdeshahian, D.M.D.
• Brittany Abelson, FNP
• Abiding Home Care LLC
• Ahmad Abou Abbass, M.D
• Soodabeh Abravesh, M.D.
• Abundant Hands Care Inc. (St. Joseph's Home)

• Psychiatry Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.