Azam MD PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AZAM MD PC

Practice address

3455 Ingraham St
San Diego, CA 92109-6713

Phone

(619) 937-2055

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Arsalan Azam, MD

Title

Ceo/Cmo

Phone

(216) 526-2099

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Daydream MD Doing business as

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1437864014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 MUIR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072102",
            "telephone_number": "216-526-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 INGRAHAM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096713",
            "telephone_number": "619-937-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "ARSALAN",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "216-526-2099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "161461",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCE",
            "identifier": "50842",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daydream MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Azadeh Khajavi DMD Inc
• Hedieh Azadmehr, PH.D
• Rahab Barde Azaki
• Azam MD & McJunkin Medical Corp
• Azam MD & McJunkin Prof Corp
• Azam MD PC
• Arsalan S Azam
• Barbara Azambuja Jordan
• Nooshin Azami
• Alisherhon Azamov, MD

• Multi-Specialty Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.