Organization Active NPI

Nassir a Azimi, MD, a Professional Corporation

Doing business as Azimi Cardiovascular Institute

  • Cardiovascular Disease Physician
  • La Mesa, CA
National Provider Identifier
1780227694
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NASSIR A AZIMI, MD, A PROFESSIONAL CORPORATION
Doing business as
Azimi Cardiovascular Institute
Practice address
5565 Grossmont Center Dr
BLDG 3, Suite 444
La Mesa, CA 91942-3020
Phone
(619) 567-7400
Fax
(888) 714-0424
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Darla Graham
Title
Office Manager
Phone
(858) 204-2104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

5565 Grossmont Center Dr
BLDG 3, Suite 444
La Mesa, CA 91942-3020

Mailing address

3755 Avocado Blvd # 239
La Mesa, CA 91941-7301
Phone (619) 462-9353

Other names 1

  • Azimi Cardiovascular Institute Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eclinical Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200709002904 CA Part B Supplier - Clinic/Group Practice 0749603777 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1780227694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 AVOCADO BLVD # 239",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417301",
            "telephone_number": "619-462-9353",
            "fax_number": "619-462-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3, SUITE 444",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-567-7400",
            "fax_number": "888-714-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSIR A AZIMI, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-204-2104"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eclinical",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5565 Grossmont Center Dr",
            "address_2": "Bldg 3, Suite 444",
            "city": "La Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919423020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Azimi Cardiovascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.