NPIMap

Individual provider Active NPI

Nicola Faris Azar, M.D.

  • Family Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1922259787
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036121756 Issued in IL
Practice address
1000 Newbury Rd Ste 265
Thousand Oaks, CA 91320-6444
Phone
(818) 667-7473
Fax
(818) 914-4230
NPI assigned
Oct 9, 2008
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A121880 CA
Family Medicine Physician 207Q00000X 036121756 IL Primary

Addresses

Primary practice location

1000 Newbury Rd Ste 265
Thousand Oaks, CA 91320-6444

Mailing address

1000 Newbury Rd Ste 265
Thousand Oaks, CA 91320-6444
Phone (818) 667-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124000665 CA Practitioner - Family Practice 5799836557 Reassigns benefits to 7 organizations
Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Care Experts IncGroup PAC ID 3173026911, 2 clinicians

Practice addresses (Care Compare)

Glendale, CA 91205
Phone (818) 484-6365

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121880CAMDFamily Medicine Physician
036121756ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Experts Inc CurrentSince Aug 15, 2025 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jan 22, 2015 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jan 22, 2015 Accepting new patients
Mend Health Inc CurrentSince Aug 1, 2015 Accepting new patients
Socal Healthnet Inc CurrentSince Oct 25, 2014 Accepting new patients
Next Door Med Net Inc. Current Accepting new patients
GDK Wound Care Inc CurrentSince Jan 1, 2026 Accepting new patients
Green Cross Med Net Inc CurrentSince Oct 20, 2014 Accepting new patients
Diversey Medical Center SC PastSince Aug 11, 2010 Accepting new patients
Rose Garden Hospice, Inc. Family Medicine PastSince Oct 10, 2025 Accepting new patients
SLL Hospice Care Inc Family Medicine PastSince Dec 21, 2023 Accepting new patients

Locations

225 E Broadway
Ste 308
Glendale, CA 91205
Phone (818) 484-6365

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

5832 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 750-7354

5912 Santa Monica Blvd
Los Angeles, CA 90038
Phone (323) 461-3888

13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997

4312 Woodman Ave
Ste 102
Sherman Oaks, CA 91423
Phone (818) 205-9366

14545 Friar St
Ste 208
Van Nuys, CA 91411
Phone (747) 688-0019

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Devoted Hospice IncBurbank, CA, CCN B41794 Hospice Contracted Managing Employee
Operational/Managerial Control		 Oct 20, 2025
Oct 20, 2025
Angels of Valley Hospice Care IncVan Nuys, CA, CCN B31762 Hospice Contracted Managing Employee Mar 1, 2026
Serenity Hospice and Palliative Care IncNorthridge, CA, CCN B41550 Hospice Contracted Managing Employee
Operational/Managerial Control		 Jan 2, 2026
Jan 2, 2026
Rose Garden Hospice IncLos Angeles, CA, CCN B41756 Hospice W-2 Managing Employee Oct 10, 2025
Best Quality Hospice and Palliative Care IncVan Nuys, CA, CCN B41521 Hospice Contracted Managing Employee
Operational/Managerial Control		 Dec 1, 2025
Dec 1, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 9

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1922259787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 265",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206444",
            "telephone_number": "818-667-7473",
            "fax_number": "818-914-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD STE 265",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913206444",
            "telephone_number": "818-667-7473",
            "fax_number": "818-914-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "NICOLA",
        "middle_name": "FARIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A121880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036121756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.