Azita Fakheri, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A69052 Issued in CA

Practice address

19100 Ventura Blvd Ste a
Tarzana, CA 91356-3238

Phone

(818) 343-0101

Fax

(818) 343-0269

NPI assigned

Jun 4, 2006

Last updated

Jun 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Azita Fakheri MD Inc

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1558556696
  Medicare reassignment NPD Authorized official
• David Esraeli DDS, PC

  • Dental Clinic/Center
  • Van Nuys, CA
  • NPI 1740811199
  NPD (past)
• Nader Rabi DDS Inc

  • Dentist
  • Van Nuys, CA
  • NPI 1811063613
  NPD (past)
• Tarzana Medical Center LLC

  dba Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1669410270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563238",
            "telephone_number": "818-438-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 VENTURA BLVD STE A",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563238",
            "telephone_number": "818-343-0101",
            "fax_number": "818-343-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHERI",
        "first_name": "AZITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ezra, MD
• Alexander Ezzati, LAC
• Nazanin Ezzati, DDS
• Neil D Fagen, MD
• Jeremy Fain
• Amita Firouzi Fakhimi, PSY.D.
• Sayel S. Fakhoury, D.C.
• Family and Individual Therapy, Inc. (Julia Murphy, LMFT)
• Family and Wound Care Solutions
• Family Frame Home Care

• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.

Verify at the official NPI Registry.