Robert Anthony Azurin, M.D.
Individual provider Active NPI Family Medicine Physician · South Gate, CA
NPI 1700149663 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1700149663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A132890 (CA)
- Practice address
- 4075 Tweedy Blvd
South Gate, CA 90280-6146 - Phone
- (323) 566-4111
- NPI assigned
- Jun 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Narciso M Azurin M D Inc
Practice addresses (Care Compare)
4075 Tweedy Blvd
South Gate, CA 90280-6146
Phone (323) 566-4111
Hospital & facility affiliations
- Beta Hospice Care Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007000075 | CA | Practitioner - Family Practice | 3577871862 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132890 | CA | MD | Family Medicine Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charity Health | Current | Accepting new patients | |
| Narciso M Azurin MD Inc | Family Medicine | Current |
Accepting new patients |
Locations
4075 Tweedy Blvd
South Gate, CA 90280
Phone (323) 566-4111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- robert.azurin@tmg-ca.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A132890 | CA | Yes |
Addresses
Primary practice location
4075 Tweedy Blvd
South Gate, CA 90280-6146
Mailing address
4075 Tweedy Blvd.
South Gate, CA 90280
Phone (323) 566-4111
Other providers in South Gate, CA
- Austin Nahouray Dental Corporation
- Monica Avila
- Eliseo Ayala
- Liza Ayd
- Narciso Azurin
- Sharon Bakshi
- Darlene Ballesteros
- Maria V Banda
- Masseray Bangura
- Stephanie Galilea Banuelos Chavez
All providers in South Gate, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.