Samir Azzam MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A51621 Issued in CA

Legal business name

SAMIR AZZAM MD INC

Practice address

1211 W la Palma Ave Ste 707
Anaheim, CA 92801-2814

Phone

(714) 776-2100

Fax

(714) 776-1960

NPI assigned

Jan 22, 2008

Last updated

Jun 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samir Azzam, M.DNPI 1891744538

Title

Owner

Phone

(714) 776-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samir Azzam, M.D

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1891744538
  Medicare reassignment NPD Authorized official
• Hassan Ragab, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1508897489
  NPD
• Patrick T. Pan, MD

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1922057587
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1437336435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 707",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012814",
            "telephone_number": "714-776-2100",
            "fax_number": "714-776-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 707",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012814",
            "telephone_number": "714-776-2100",
            "fax_number": "714-776-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR AZZAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "AZZAM",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-776-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A51621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samaritan Ambulance Inc
• Farmata Samati
• Richard Gabriel Samedra, PMHNP-BC
• John Samimi, PHARM.D.
• Sam A. Samimi, M.D.
• Jacquelyn Diane Sammons, D.O.
• Sheryl G Samperisi
• Kim Sampson
• Samuel B Yoo MD Inc (Yoo ObGyn)
• Mary Kalimi Samuel

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.