Active NPI
Fraidon Frey Azizi, MD
- Cardiovascular Disease Physician
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G82340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G82340 | Other | CA | LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical College of Wisconsin, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G82340 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Balancepoint Medical, Professional Corporation | Cardiovascular Disease | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| F Frey Azizi MD Inc | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Thousand Oaks, CA
- NPI 1497823504
-
- Adult Medicine Physician
- Bakersfield, CA
- NPI 1205713682
Cardiovascular Disease
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1740584473
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1033163019
-
- Legal Medicine
- Costa Mesa, CA
- NPI 1700821691
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.