Individual provider Active NPI

Arsalan S Azam

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1487053336
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A161461 Issued in CA
Practice address
4860 Muir Ave
San Diego, CA 92107-2102
Phone
(619) 973-2055
Fax
(858) 683-1637
NPI assigned
Aug 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 284415 NY
Emergency Medicine Physician 207P00000X 84378 WI
Emergency Medicine Physician 207P00000X A161461 CA Primary

Addresses

Primary practice location

4860 Muir Ave
San Diego, CA 92107-2102

Mailing address

4860 Muir Ave
San Diego, CA 92107-2102

Other practice location 1

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, TX, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160720001222 NY Practitioner - Emergency Medicine 8123311776 Reassigns benefits to 1 organization
I20191231001197 CA Practitioner - Emergency Medicine 8123311776 Reassigns benefits to 9 organizations
I20230802001024 TX Practitioner - Emergency Medicine 8123311776 Reassigns benefits to 2 organizations
I20250207002060 WI Practitioner - Emergency Medicine 8123311776 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians
Azam MD and McJunkin Prof CorpGroup PAC ID 7416393475, 2 clinicians

Practice addresses (Care Compare)

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134

3455 Ingraham St
San Diego, CA 92109-6713
Phone (619) 937-2055

431 W Grand Ave
Suite 202
Escondido, CA 92025-2607
Phone (619) 937-2055

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Thedacare Medical Center-Waupaca Hospital, Waupaca, WI, CCN 521334
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390
  • Ladd Memorial Hospital Hospital, Osceola, WI, CCN 521318

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
85.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161461CAMDEmergency Medicine Physician
84378WIMDEmergency Medicine Physician

Practice roles (32 of 33)

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine Current Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Aug 26, 2025 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Spooner Health System, Inc. Current Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Aug 26, 2025 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince May 2, 2023 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 3, 2026 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Feb 2, 2024 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Apr 10, 2021 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Feb 2, 2024 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince May 2, 2023 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Oct 24, 2019 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Azam MD & McJunkin Prof Corp CurrentSince Nov 14, 2023 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Azam MD PC PastSince Sep 24, 2023 Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients
Eve Center PastSince Dec 1, 2022 Accepting new patients

Locations (25 of 26)

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

333 H St
Ste 2080
Chula Vista, CA 91910

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

431 W Grand Ave
Ste 202
Escondido, CA 92025
Phone (619) 937-2055

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

9845 Erma Rd
Ste 200
San Diego, CA 92131
Phone (616) 402-3028

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

3455 Ingraham St
San Diego, CA 92109
Phone (442) 777-2040

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daydreammdintegrativehw.arsalanazam@158311.advancedmd-direct.com
  • Direct secure messaging: aazam47757@syhealth.direct-ci.com

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1487053336",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 MUIR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072102",
            "telephone_number": "619-973-2055",
            "fax_number": "858-683-1637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZAM",
        "first_name": "ARSALAN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "284415",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "84378",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A161461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.