Individual provider Active NPI

Azim Azhand, M.D

  • Specialist
  • Temecula, CA
National Provider Identifier
1548362064
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A496210 Issued in CA
Practice address
29645 Rancho California Rd
Suite 210
Temecula, CA 92591-6200
Phone
(951) 695-4333
Fax
(951) 695-4828
NPI assigned
Sep 4, 2006
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A496210 CA Primary

Addresses

Primary practice location

29645 Rancho California Rd
Suite 210
Temecula, CA 92591-6200

Mailing address

29645 Rancho California Rd
Suite 210
Temecula, CA 92591-6200
Phone (951) 695-4333

Other identifiers 1

IdentifierTypeStateIssuer
00A496210MedicaidCA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A496210CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Azim U. Azhand, M.D. Professional Corporation 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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1548362064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "SUITE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916200",
            "telephone_number": "951-695-4333",
            "fax_number": "951-695-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "SUITE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916200",
            "telephone_number": "951-695-4333",
            "fax_number": "951-695-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZHAND",
        "first_name": "AZIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A496210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A496210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.