Kent H Azaren, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G40048 Issued in CA

Practice address

3610 Long Beach Blvd
Suite 101
Long Beach, CA 90807-4012

Phone

(562) 424-0421

Fax

(562) 427-8005

NPI assigned

Nov 14, 2006

Last updated

Mar 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kentazaren@ags.allscriptsdirect.net

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1750453700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7039",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908070039",
            "telephone_number": "562-424-0421",
            "fax_number": "562-427-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 LONG BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074012",
            "telephone_number": "562-424-0421",
            "fax_number": "562-427-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAREN",
        "first_name": "KENT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G40048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talaya Ayala
• Freda Ayers
• Ayman Neoman MD a Medical Corporation
• Monica Ayon-Cuevas
• Edmond (None) Ayyappa, MS, CPO, FAAOP
• Samar Azawi, M.D.
• David Sherif Azer, DO
• Paola Someia Camain Azer
• Chelsea Brianne Azevedo, MD
• Sarah Aziz

• Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.