NPIMap

Organization Active NPI

Azar Foot & Ankle Specialist

  • Podiatric Clinic/Center
  • Moreno Valley, CA
National Provider Identifier
1629662945
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
AZAR FOOT & ANKLE SPECIALIST
Practice address
13925 Indian St
Moreno Valley, CA 92553-5718
Phone
(213) 537-2927
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2025

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

Authorized official

Name
Edward Shibli Azar, DPMNPI 1003291832
Title
President
Phone
(213) 537-2927

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

13925 Indian St
Moreno Valley, CA 92553-5718

Mailing address

9675 Monte Vista Ave Ste D
Montclair, CA 91763-2213
Phone (213) 537-2927

National Provider Directory

National Provider Directory
Tax ID family
Azar Foot and Ankle Specialist5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748131200000",
    "number": "1629662945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 MONTE VISTA AVE STE D",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632213",
            "telephone_number": "213-537-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 INDIAN ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535718",
            "telephone_number": "213-537-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAR FOOT & ANKLE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SHIBLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-537-2927",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2025; 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.