Active NPI
Wageh Azer, M.D.
- Internal Medicine Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A66692
- Practice address
- 225 W Broadway Ste 100
Glendale, CA 91204-1393 - Phone
- (818) 545-7117
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A66692 | CA | Primary |
Addresses
Primary practice location
225 W Broadway Ste 100
Glendale, CA 91204-1393
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
1400 S Grand Ave
Los Angeles, CA 90015-3048
Phone (213) 765-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A666920 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
225 W Broadway
Suite 100
Glendale, CA 91204-1393
Phone (818) 545-7117
824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66692 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Prairie Medical Group Inc | Past | Accepting new patients | |
| La Vida Multi-Specialty Medical Group | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| La Vida Multispecialty Medical Group Inc | Past | Accepting new patients | |
| Prairie Medical Group | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1045 W Redondo Beach Blvd
Fl 3
Gardena, CA 90247
Phone (310) 352-4170
225 W Broadway
Ste 100
Glendale, CA 91204
Phone (818) 545-7117
716 W Broadway
Glendale, CA 91204
Phone (818) 243-9999
1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225
361 Hospital Rd
Ste 327
Newport Beach, CA 92663
Phone (949) 642-3100
601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wagehazer@hcpca.allscriptsdirect.net
- wazer207796@westdirect.optum.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Specialist
- San Pedro, CA
- NPI 1285789487
-
- Specialist
- Hawthorne, CA
- NPI 1861522708
-
- Specialist
- Marina del Rey, CA
- NPI 1194846410
-
- Specialist
- Santa Monica, CA
- NPI 1386790145
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1477501799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W BROADWAY STE 100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041393",
"telephone_number": "818-545-7117"
}
],
"practiceLocations": [
{
"address_1": "1400 S Grand Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153048",
"country_code": "US",
"telephone_number": "213-765-7500",
"fax_number": "213-765-7390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AZER",
"first_name": "WAGEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A66692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A666920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.