NPIMap

Individual provider Active NPI

Ihab Naim Aziz, MD

  • Vascular Surgery Physician
  • Van Nuys, CA
National Provider Identifier
1700873593
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A66104 Issued in CA
Practice address
16917 Enadia Way
Van Nuys, CA 91406-3602
Phone
(818) 401-1010
Fax
(818) 401-1212
NPI assigned
Oct 5, 2005
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A66104 CA
Vascular Surgery Physician 2086S0129X A66104 CA Primary

Addresses

Primary practice location

16917 Enadia Way
Van Nuys, CA 91406-3602

Mailing address

16917 Enadia Way
Van Nuys, CA 91406-3602
Phone (818) 401-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060621000162 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 9234141938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Vascular Associates IncGroup PAC ID 2163434861, 3 clinicians

Practice addresses (Care Compare)

16917 Enadia Way
Van Nuys, CA 91406-3602
Phone (818) 401-1010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
94.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66104CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vascular Associates, Inc Surgery CurrentSince Apr 1, 2006 Accepting new patients
Valley Surgery Center, Inc. Current Accepting new patients
Grace Surgery Center Inc CurrentSince Dec 23, 2020 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

201 S Buena Vista St
Ste 305
Burbank, CA 91505
Phone (818) 848-5588

43807 10th St W
Ste A
Lancaster, CA 93534
Phone (661) 495-0005

38920 Trade Center Dr
Palmdale, CA 93551
Phone (661) 382-0221

23911 Calgrove Blvd
Santa Clarita, CA 91321
Phone (661) 505-7079

16917 Enadia Way
Van Nuys, CA 91406
Phone (818) 401-1010

16917 Enadia Way
Ste 239
Van Nuys, CA 91406

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/299f89be-f85c-4368-87fb-a971e7696d7c/

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1700873593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16917 ENADIA WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063602",
            "telephone_number": "818-401-1010",
            "fax_number": "818-401-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16917 ENADIA WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063602",
            "telephone_number": "818-401-1010",
            "fax_number": "818-401-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "IHAB",
        "middle_name": "NAIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A66104",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A66104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.