Active NPI
Izza Bazigh, M.D
- Rheumatology Physician
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A206100
- Practice address
- 4000 Civic Center Dr Ste 200a
San Rafael, CA 94903-5233 - Phone
- (415) 464-0171
- Fax
- (415) 464-0171
- NPI assigned
- May 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 70252 | AZ | |
| Rheumatology Physician | 207RR0500X | A206100 | CA | Primary |
Addresses
Primary practice location
4000 Civic Center Dr Ste 200a
San Rafael, CA 94903-5233
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000
Other practice location 1
11375 Cortez Boulevard, SR 50, Office of Graduate Medic
Brooksville, FL 34613
Phone (352) 592-2756
Other practice location 2
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ibazigh1959142@ehrdirect.mayoclinicmsg.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
- Marinhealth Medical Center
- Mayo Clinic Hospital
- Sonoma Valley Hospital
- Novato Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A206100 | CA | MD | Rheumatology Physician |
| 70252 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Rheumatology | Current | Accepting new patients |
Locations
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
4000 Civic Center Dr
Ste 200A
San Rafael, CA 94903
Phone (415) 444-0300
Interoperability endpoints
- ibazigh1959142@ehrdirect.mayoclinicmsg.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
Rheumatology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1154392231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1679196836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595499",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CIVIC CENTER DR STE 200A",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949035233",
"telephone_number": "415-464-0171",
"fax_number": "415-464-0171"
}
],
"practiceLocations": [
{
"address_1": "11375 Cortez Boulevard, SR 50, Office of Graduate Medic",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "34613",
"country_code": "US",
"telephone_number": "352-592-2756",
"fax_number": "352-597-6173",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595499",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAZIGH",
"first_name": "IZZA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AZ",
"license": "70252",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A206100",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ibazigh1959142@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595499",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.