Active NPI
Noor Saba Azimi, MD
- Colon & Rectal Surgery Physician
- Greenbrae, CA
National Provider Identifier
1902908288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- CA87104
- Practice address
- 1300 S Eliseo Dr
#203
Greenbrae, CA 94904-2023 - Phone
- (415) 461-3300
- Fax
- (415) 461-3934
- NPI assigned
- Sep 5, 2006
- Last updated
- Apr 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | CA87104 | CA | |
| Colon & Rectal Surgery Physician | 208C00000X | CA87104 | CA | Primary |
Addresses
Primary practice location
1300 S Eliseo Dr
#203
Greenbrae, CA 94904-2023
Mailing address
1300 S Eliseo Dr
#203
Greenbrae, CA 94904-2023
Phone (415) 461-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A871040 | Medicaid | CA |
Other names 1
- Ms. Nora Saba Azimi
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
- General Surgery
- Education
- State University of New York at Stony Brook, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (909) 576-5850
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA87104 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma and Acute Care Surgery Specialists Inc | Surgery | Current | Accepting new patients |
| Noor Saba Azimi MD Inc | Surgery | Current | Accepting new patients |
| A Plus Prime Care Hospice Inc | Past | Accepting new patients | |
| Doctors Medical Surgical Associates | Past | Accepting new patients |
Locations
19845 Lake Chabot Rd
Ste 200
Castro Valley, CA 94546
Phone (510) 538-4500
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
Interoperability endpoints
- nazimi142025@hisp.ehr.sutterhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Castro Valley, CA
- NPI 1750989141
-
- Surgery Physician
- Castro Valley, CA
- NPI 1639930647
-
dba Physicians Hospice Group
- Community Based Hospice Care Agency
- Pleasanton, CA
- NPI 1306456082
-
- Specialist
- Castro Valley, CA
- NPI 1568696987
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Physicians Hospice Group
- Community Based Hospice Care Agency
- Pleasanton, CA
- NPI 1306456082
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
-
dba Eden Medical Center
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1902908288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S ELISEO DR",
"address_2": "#203",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042023",
"telephone_number": "415-461-3300",
"fax_number": "415-461-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S ELISEO DR",
"address_2": "#203",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042023",
"telephone_number": "415-461-3300",
"fax_number": "415-461-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIMI",
"first_name": "NOOR",
"middle_name": "SABA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "CA87104",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "CA87104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A871040",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NORA",
"last_name": "AZIMI",
"middle_name": "SABA",
"prefix": "MS.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.