Individual provider Active NPI

Rehana Aziz, MD

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1528146438
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A054063 Issued in CA
Practice address
5100 N 6TH St
Suite # 135
Fresno, CA 93710-7514
Phone
(559) 344-1956
Fax
(559) 222-0200
NPI assigned
Nov 1, 2006
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A054063 CA Primary

Addresses

Primary practice location

5100 N 6TH St
Suite # 135
Fresno, CA 93710-7514

Mailing address

1557 W Shaw Ave
Fresno, CA 93711-3503
Phone (559) 222-0207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A054063CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehana Aziz MD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1528146438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113503",
            "telephone_number": "559-222-0207",
            "fax_number": "559-222-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST",
            "address_2": "SUITE # 135",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107514",
            "telephone_number": "559-344-1956",
            "fax_number": "559-222-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "REHANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A054063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.