Azadeh Shirazi MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AZADEH SHIRAZI MD INC

Doing business as

La Jolla Dermatology & Laser Surgery Center

Practice address

7301 Girard Ave Ste 202
La Jolla, CA 92037-5151

Phone

(858) 456-3992

Fax

(858) 456-4010

NPI assigned

Feb 7, 2018

Last updated

Feb 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Azadeh Shirazi, MDNPI 1679557144

Title

Physician/President

Phone

(619) 309-9831

Specialties & licenses 2

Addresses

Other names 1

• La Jolla Dermatology & Laser Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azadeh R Shirazi, MD

  • Dermatology Physician
  • La Jolla, CA
  • NPI 1679557144
  Medicare reassignment NPD Authorized official
• Natalie Waters Basin, PA-C

  • Medical Physician Assistant
  • Oceanside, CA
  • NPI 1477196897
  NPD (past)
• Eleni Litras, PA-C

  • Physician Assistant
  • Sun City, CA
  • NPI 1558763953
  NPD (past)
• Rana Mansour, D.P.M.

  • Podiatrist
  • El Cajon, CA
  • NPI 1437108347
  NPD (past)
• Michael Lee Simons, DPM

  • Podiatrist
  • La Jolla, CA
  • NPI 1356459051
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1942709738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 GIRARD AVE STE 202",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375151",
            "telephone_number": "858-456-3992",
            "fax_number": "858-456-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 GIRARD AVE STE 202",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375151",
            "telephone_number": "858-456-3992",
            "fax_number": "858-456-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZADEH SHIRAZI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "619-309-9831",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Jolla Dermatology & Laser Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Auyeung, PA-C
• Alex B Avanessian, D.D.S.
• Avantgarde Senior Living of la Jolla
• Bryan Stephen Avilez
• Ayman Naser DDS Inc (The Shores Dental)
• Paricheh Azimi, PHARMD
• Tamara Azoulay
• Olivia Katherine Azzopardi
• Shirley Shermet Babior, MSW
• Seda Badalyan, MD

• Dermatology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.