Family Medicine Headquarters, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE HEADQUARTERS, INC

Practice address

521 N Azusa Ave
Azusa, CA 91702-2936

Phone

(626) 334-4061

Fax

(626) 334-6828

NPI assigned

Oct 25, 2018

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shariar Borbor, MDNPI 1477868933

Title

President / Medical Director

Phone

(626) 334-4061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shariar Borbor, M.D.

  • Family Medicine Physician
  • Azusa, CA
  • NPI 1477868933
  Medicare reassignment Authorized official
• Matthew Thomas Long, D.O.

  • Adult Medicine Physician
  • Long Beach, CA
  • NPI 1851406243
  NPD
• Hilda Azpeitia, PA-C

  • Medical Physician Assistant
  • Azusa, CA
  • NPI 1912053851
  NPD (past)

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1740757996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BROADWAY # 617",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012808",
            "telephone_number": "626-334-4061",
            "fax_number": "626-334-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022936",
            "telephone_number": "626-334-4061",
            "fax_number": "626-334-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE HEADQUARTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BORBOR",
        "authorized_official_first_name": "SHARIAR",
        "authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-334-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elisabeth Fabris
• Charles Phillip Andrew Fagan
• Stephanie Marie Farrell, MSOT
• Amanda Lorraine Felix
• Cynthia Ann Felix, PT
• Kylie Dennise Ferrer Guiking, ASW, PPSC
• Magely Flores

• Family Medicine Physician in Azusa, CA
• Providers in Azusa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.