Individual provider Active NPI

Waleed Omar Awan, MD

  • Internal Medicine Physician
  • Aliso Viejo, CA
National Provider Identifier
1861132375
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A203498 Issued in CA
Practice address
11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044
Phone
(949) 521-6060
Fax
(949) 521-6063
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A203498 CA Primary

Addresses

Primary practice location

11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044

Mailing address

215 W Janss Rd
Thousand Oaks, CA 91360-1847

Other practice location 1

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

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
I20250808001943 CA Practitioner - Internal Medicine 3971965963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George K Shahinian M D IncorporatedGroup PAC ID 9537196076, 7 clinicians

Practice addresses (Care Compare)

11 Mareblu
Suite 200
Aliso Viejo, CA 92656-3044
Phone (949) 521-6060

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A203498CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George K Shahinian M D Incorporated CurrentSince Jul 1, 2025 Accepting new patients

Locations

11 Mareblu
Ste 200
Aliso Viejo, CA 92656
Phone (949) 446-8990

31852 Coast Hwy
Ste 201
Laguna Beach, CA 92651
Phone (949) 715-0505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wawan899548@direct.memorialcare.org

Organizations & group practices 1

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 4

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1861132375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAREBLU STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563044",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W Janss Rd",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913601847",
            "country_code": "US",
            "telephone_number": "805-497-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWAN",
        "first_name": "WALEED",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A203498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.