Individual provider Active NPI

Azmi W. Atiya, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Northridge, CA
National Provider Identifier
1639109648
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G78432 Issued in CA
Practice address
18350 Roscoe Blvd.
Suite 201
Northridge, CA 91325-4148
Phone
(818) 993-4471
Fax
(818) 993-7565
NPI assigned
Jul 4, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G78432 CA Primary

Addresses

Primary practice location

18350 Roscoe Blvd.
Suite 201
Northridge, CA 91325-4148

Mailing address

18350 Roscoe Blvd.
Suite 201
Northridge, CA 91325-4148
Phone (818) 993-4471

Other practice location 1

18133 Ventura Blvd Ste 300
Tarzana, CA 91356-3645
Phone (310) 423-8888

Other practice location 2

1700 N Rose Ave Ste 135
Oxnard, CA 93030-7301
Phone (818) 993-4475

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
I20080115000867 CA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 7214018274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

18133 Ventura Blvd
Suite 300
Tarzana, CA 91356-3645
Phone (818) 994-0101

18350 Roscoe Blvd
Northridge, CA 91325-4148
Phone (818) 993-4471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)77
Pacemaker insertion or repair17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 11, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 11, 2022 Accepting new patients
Soltero & Yasuda Associates Cardiothoracic & Vascular Surgery Medical Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 11, 2004 Accepting new patients
West Hills Hospital Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

18350 Roscoe Blvd
Ste 201
Northridge, CA 91325
Phone (818) 993-0302

18133 Ventura Blvd
Ste 300
Tarzana, CA 91356
Phone (310) 423-8888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1639109648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD.",
            "address_2": "SUITE 201",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254148",
            "telephone_number": "818-993-4471",
            "fax_number": "818-993-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD.",
            "address_2": "SUITE 201",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254148",
            "telephone_number": "818-993-4471",
            "fax_number": "818-993-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18133 Ventura Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563645",
            "country_code": "US",
            "telephone_number": "310-423-8888",
            "fax_number": "310-423-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 N Rose Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930307301",
            "country_code": "US",
            "telephone_number": "818-993-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIYA",
        "first_name": "AZMI",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G78432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.