Active NPI
Wahida Azimi, D.O.
- Internal Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A14031
- Practice address
- 9480 S Eastern Ave Suite 262
Henderson, NV 89052-2982 - Phone
- (702) 407-7700
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C7-0003796 | DE | |
| Hospitalist Physician | 208M00000X | DO2070 | NV | |
| Internal Medicine Physician | 207R00000X | 20A14031 | CA | Primary |
| Internal Medicine Physician | 207R00000X | DO2070 | NV |
Addresses
Primary practice location
9480 S Eastern Ave Suite 262
Henderson, NV 89052-2982
Mailing address
10624 S Eastern Ave
# A-955
Henderson, NV 89052-2982
Phone (702) 877-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180620002905 | CA | Practitioner - Internal Medicine | 6002005782 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Focus on Health Inc
Practice addresses (Care Compare)
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400
Hospital & facility affiliations
- Sharp Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14031 | CA | MD | Internal Medicine Physician |
| C7-0003796 | DE | MD | Internal Medicine Physician |
| DO2070 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus on Health Inc | Current | Accepting new patients | |
| San Diego Hospitalist Associates Inc | Hospitalist | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025
8765 Aero Dr
Ste 130
San Diego, CA 92123
Phone (858) 541-0181
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
CA
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
Hospital & facility affiliations 2
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": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1821292079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE",
"address_2": "# A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-877-8600",
"fax_number": "702-242-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 S EASTERN AVE SUITE 262",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIMI",
"first_name": "WAHIDA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C7-0003796",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "DO2070",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A14031",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "DO2070",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.
- 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.