Individual provider Active NPI

Fraidon Frey Azizi, MD

  • Cardiovascular Disease Physician
  • Thousand Oaks, CA
National Provider Identifier
1841368461
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G82340 Issued in CA
Practice address
2220 Lynn Rd Ste 103
Thousand Oaks, CA 91360-8016
Phone
(805) 373-1182
Fax
(805) 373-1184
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G82340 CA Primary

Addresses

Primary practice location

2220 Lynn Rd Ste 103
Thousand Oaks, CA 91360-8016

Mailing address

4718 Club View Dr
Westlake Village, CA 91362-4350
Phone (805) 496-6877

Other identifiers 1

IdentifierTypeStateIssuer
G82340OtherCALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000544 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507806395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Medical College of Wisconsin, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
F Frey Azizi MD IncGroup PAC ID 5092805085, 2 clinicians
Balancepoint Medical Professional CorporationGroup PAC ID 6507358330, 2 clinicians

Practice addresses (Care Compare)

2220 Lynn Rd
Suite 103
Thousand Oaks, CA 91360-8016
Phone (805) 373-1182

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G82340CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Balancepoint Medical, Professional Corporation Cardiovascular Disease CurrentSince Jan 6, 2026 Accepting new patients
Providence Medical Foundation CurrentSince Oct 17, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Oct 17, 2023 Accepting new patients
F Frey Azizi MD Inc Cardiovascular Disease CurrentSince Apr 1, 2005 Accepting new patients
Providence Medical Foundation Past Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

3550 Q St
Ste 101
Bakersfield, CA 93301
Phone (626) 325-8455

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

2220 Lynn Rd
Ste 103
Thousand Oaks, CA 91360
Phone (805) 373-1182

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841368461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 CLUB VIEW DR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624350",
            "telephone_number": "805-496-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD STE 103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608016",
            "telephone_number": "805-373-1182",
            "fax_number": "805-373-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "FRAIDON",
        "middle_name": "FREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G82340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G82340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.