Individual provider Active NPI

Raymond Adly Azab

  • Body Imaging Physician
  • Northridge, CA
National Provider Identifier
1528221983
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
A124719 Issued in CA
Practice address
18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone
(818) 435-1400
NPI assigned
Jul 7, 2008
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A124719 CA Primary
Diagnostic Radiology Physician 2085R0202X ME154637 FL

Addresses

Primary practice location

18436 Roscoe Blvd
Northridge, CA 91325-4107

Mailing address

18436 Roscoe Blvd
Northridge, CA 91325-4107

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130605000389 CA Practitioner - Diagnostic Radiology 7012155914 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians

Practice addresses (Care Compare)

250 S Grand Ave
Glendora, CA 91741-4218
Phone (877) 406-2916

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1554

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

5131 Genesta Ave
Encino, CA 91316-3450
Phone (877) 406-2916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154637FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
Mountain Communities Healthcare District CurrentSince Apr 1, 2023 Accepting new patients
Memorialcare Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
Mountain Communities Healthcare District CurrentSince Apr 1, 2023 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince Jan 21, 2025 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince Jan 21, 2025 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
Shriners Hospitals for Children CurrentSince Jan 21, 2025 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: razab919955@direct.memorialcare.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1528221983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-435-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAB",
        "first_name": "RAYMOND",
        "middle_name": "ADLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A124719",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME154637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.