Azusa Way Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AZUSA WAY FAMILY MEDICAL CLINIC

Practice address

561 S Azusa Way
La Puente, CA 91744-5113

Phone

(626) 912-6670

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hoda Farid

Title

Dircector

Phone

(626) 912-6670

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosanna Wadie Iskander, M.D.

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1265500896
  NPD (past)
• Heidi Tawadros, PA.C

  • General Practice Physician
  • Maywood, CA
  • NPI 1992929335
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1508055922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S AZUSA WAY",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445113",
            "telephone_number": "626-912-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S AZUSA WAY",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445113",
            "telephone_number": "626-912-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUSA WAY FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "FARID",
        "authorized_official_first_name": "HODA",
        "authorized_official_title_or_position": "DIRCECTOR",
        "authorized_official_telephone_number": "626-912-6670"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Anna Arroyo
• Guillermo Arzola
• Kira Kristine Au, M.S., A.T.C.
• Axon Neurodiagnostics
• Nagwa L Azer, MD
• B. Deirmenjian, DDS, Inc. (Smiles West)
• Baart
• Baart Behavioral Health Services, Inc. (BAART Programs La Puente)
• Baart Community Healthcare
• Baart Programs

• Family Medicine Physician in La Puente, CA
• Providers in La Puente, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.