Active NPI
Rand Azouz
- Pediatrics Physician
- Ventura, CA
National Provider Identifier
1639858822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A210011
- Practice address
- 200 S Wells Rd Ste 100
Ventura, CA 93004-1378 - Phone
- (805) 647-6322
- Fax
- (805) 647-7164
- NPI assigned
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A210011 | CA | Primary |
Addresses
Primary practice location
200 S Wells Rd Ste 100
Ventura, CA 93004-1378
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-8705
Phone (805) 673-3930
Other practice location 1
500 E Main St
Santa Paula, CA 93060-2607
Phone (805) 933-0895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1040 Flynn Rd
Camarillo, CA 93012-5092
446 Senator St Apt
Suite 13
Brooklyn, NY 11220-5427
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients |
Interoperability endpoints
- razouz19500@prd.direct.tbh.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1639858822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128705",
"telephone_number": "805-673-3930",
"fax_number": "805-659-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD STE 100",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041378",
"telephone_number": "805-647-6322",
"fax_number": "805-647-7164"
}
],
"practiceLocations": [
{
"address_1": "500 E Main St",
"address_purpose": "LOCATION",
"city": "Santa Paula",
"state": "CA",
"postal_code": "930602607",
"country_code": "US",
"telephone_number": "805-933-0895",
"fax_number": "805-933-3836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AZOUZ",
"first_name": "RAND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-14",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A210011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.