Kouros Azar, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A79029 Issued in CA

Practice address

425 Haaland Dr Ste 200
Thousand Oaks, CA 91361-5231

Phone

(805) 373-7073

Fax

(805) 373-1116

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kouros Azar, MD a Professional Corporation

  • Specialist
  • Thousand Oaks, CA
  • NPI 1093033987
  NPD Authorized official
• Rolling Oaks Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Thousand Oaks, CA
  • NPI 1003216276
  NPD Authorized official
• Renaissance Asthetic Laser and Vein Institute, a Medical Corporation

  • Vascular Surgery Physician
  • Thousand Oaks, CA
  • NPI 1730258187
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1508935040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-373-7073",
            "fax_number": "805-373-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-373-7073",
            "fax_number": "805-373-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "KOUROS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A79029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aviisha Medical Corporation
• Norma Elisa Avina, NP
• Gabriela Ayala, PPS
• Priscila Ayson, R.N.
• Azar Medical
• Mandana Azar, M.D.
• Nicola Faris Azar, M.D.
• Shanee Aziz
• Fraidon Frey Azizi, MD
• Setrak Manouk Missak Azrenkassian

• Plastic Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.