Organization Active NPI

Doctor Azad, Medical Corporation

  • Obstetrics & Gynecology Physician
  • Mountain View, CA
National Provider Identifier
1740410836
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A93504 Issued in CA
Legal business name
DOCTOR AZAD, MEDICAL CORPORATION
Practice address
2495 Hospital Dr Ste 670
Mountain View, CA 94040-4187
Phone
(650) 396-8110
Fax
(650) 336-7359
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Dr. Sarah Pashtoon Azad, MDNPI 1457531543
Title
President
Phone
(650) 396-8110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A93504 CA Primary

Addresses

Primary practice location

2495 Hospital Dr Ste 670
Mountain View, CA 94040-4187

Mailing address

2495 Hospital Dr Ste 670
Mountain View, CA 94040-4187
Phone (650) 396-8110

Other names 1

  • El Camino Women's Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150730010985 CA Part B Supplier - Clinic/Group Practice 4587978945 Receives reassigned benefits from 7 practitioners
Practice locations: Mountain View, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2100482El Camino Women'S Medical Group2495 Hospital Dr Ste 670, Mountain View, CA 94040Provider-performed microscopyAug 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1740410836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 670",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404187",
            "telephone_number": "650-396-8110",
            "fax_number": "650-336-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 670",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404187",
            "telephone_number": "650-396-8110",
            "fax_number": "650-336-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR AZAD, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PASHTOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-396-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A93504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Camino Women's Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Camino Women's Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.