Organization Active NPI

F Frey Azizi MD Inc

  • Cardiovascular Disease Physician
  • Thousand Oaks, CA
National Provider Identifier
1497823504
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G82340 Issued in CA
Legal business name
F FREY AZIZI MD INC
Practice address
2220 Lynn Road
#103
Thousand Oaks, CA 91360
Phone
(805) 373-1182
Fax
(805) 373-1184
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Fraidon Frey Azizi, MDNPI 1841368461
Title
President
Phone
(805) 373-1182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G82340 CA Primary

Addresses

Primary practice location

2220 Lynn Road
#103
Thousand Oaks, CA 91360

Mailing address

2220 Lynn Road
#103
Thousand Oaks, CA 91360
Phone (805) 373-1182

Other identifiers 1

IdentifierTypeStateIssuer
G82340OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000755 CA Part B Supplier - Clinic/Group Practice 5092805085 Receives reassigned benefits from 2 practitioners
Practice locations: Thousand Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1103602F Frey Azizi, MD Inc2220 Lynn Road #103, Thousand Oaks, CA 91360Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1497823504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN ROAD",
            "address_2": "#103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-373-1182",
            "fax_number": "805-373-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN ROAD",
            "address_2": "#103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-373-1182",
            "fax_number": "805-373-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F FREY AZIZI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "FRAIDON",
        "authorized_official_middle_name": "FREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-373-1182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G82340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G82340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.