Active NPI
F Frey Azizi MD Inc
- Cardiovascular Disease Physician
- Thousand Oaks, CA
National Provider Identifier
1497823504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G82340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fraidon Frey Azizi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G82340 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1103602 | F Frey Azizi, MD Inc | Certificate of waiver | Aug 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Thousand Oaks, CA
- NPI 1841368461
-
- Cardiovascular Disease Physician
- Bakersfield, CA
- NPI 1639330954
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.