Organization Active NPI

Qazi Medical Group, Inc.

  • Pulmonary Disease Physician
  • Banning, CA
National Provider Identifier
1548489271
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A38621 Issued in CA
Legal business name
QAZI MEDICAL GROUP, INC.
Practice address
264 N Highland Springs Ave
Suite 2a
Banning, CA 92220-3082
Phone
(951) 845-8856
Fax
(951) 845-7256
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Ahsan Ul-Haque Qazi, M.D.NPI 1891825071
Title
President
Phone
(951) 845-8856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A28843 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A38621 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A38621 CA Primary

Addresses

Primary practice location

264 N Highland Springs Ave
Suite 2a
Banning, CA 92220-3082

Mailing address

264 N Highland Springs Ave
Suite 2a
Banning, CA 92220-3082
Phone (951) 845-8856

Other identifiers 2

IdentifierTypeStateIssuer
GR0067380MedicaidCA
ZZZ52799ZOtherCABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331001060 CA Part B Supplier - Clinic/Group Practice 6608823729 Receives reassigned benefits from 4 practitioners
Practice locations: Banning, CA; Moreno Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0865163Qazi Medical Group Inc264 N Highland Springs Ave Ste 2a, Banning, CA 92220Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

264 N Highland Springs Ave
Ste 2A
Banning, CA 92220
Phone (951) 845-8589

12980 Frederick St
Ste F
Moreno Valley, CA 92553
Phone (909) 485-2606

12900 Frederick St
Ste F
Moreno Valley, CA 92553

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548489271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N HIGHLAND SPRINGS AVE",
            "address_2": "SUITE 2A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203082",
            "telephone_number": "951-845-8856",
            "fax_number": "951-845-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N HIGHLAND SPRINGS AVE",
            "address_2": "SUITE 2A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203082",
            "telephone_number": "951-845-8856",
            "fax_number": "951-845-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAZI MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_middle_name": "UL-HAQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-845-8856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A28843",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38621",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A38621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0067380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "ZZZ52799Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.