Organization Active NPI

H Azadeh MD

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1659675973
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A24681 Issued in CA
Legal business name
H AZADEH MD
Practice address
18251 Roscoe Blvd
Ste 203
Northridge, CA 91325-4200
Phone
(818) 885-7611
Fax
(818) 885-8236
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Hooshang Azadeh, MD
Title
Owner
Phone
(818) 885-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A24681 CA Primary

Addresses

Primary practice location

18251 Roscoe Blvd
Ste 203
Northridge, CA 91325-4200

Mailing address

18251 Roscoe Blvd
Ste 203
Northridge, CA 91325-4200
Phone (818) 885-7611

Other identifiers 1

IdentifierTypeStateIssuer
00A246810MedicaidCA

National Provider Directory

National Provider Directory

Locations

18251 Roscoe Blvd
Ste 203
Northridge, CA 91325
Phone (818) 885-7611

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": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1659675973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18251 ROSCOE BLVD",
            "address_2": "STE 203",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254200",
            "telephone_number": "818-885-7611",
            "fax_number": "818-885-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18251 ROSCOE BLVD",
            "address_2": "STE 203",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254200",
            "telephone_number": "818-885-7611",
            "fax_number": "818-885-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H AZADEH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "AZADEH",
        "authorized_official_first_name": "HOOSHANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-885-7611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A24681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A246810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.