Active NPI
Homa Azami, MPT, PT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Laguna Hills, CA
National Provider Identifier
1689182982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- PT25643
- Practice address
- 12 Sparrow Hill LN
Laguna Hills, CA 92653-6014 - Phone
- (714) 904-5321
- NPI assigned
- Jan 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT25643 | CA | Primary |
Addresses
Primary practice location
12 Sparrow Hill LN
Laguna Hills, CA 92653-6014
Mailing address
12 Sparrow Hill LN
Laguna Hills, CA 92653-6014
Phone (714) 904-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25643 | CA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| 25643 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516492800000",
"number": "1689182982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SPARROW HILL LN",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926536014",
"telephone_number": "714-904-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SPARROW HILL LN",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926536014",
"telephone_number": "714-904-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAMI",
"first_name": "HOMA",
"credential": "MPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-21",
"last_updated": "2018-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "PT25643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.