Shahdad Azmoon, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A91785 Issued in CA

Practice address

10535 Foothill Blvd
Suite #365
Rancho Cucamonga, CA 91730-3843

Phone

(909) 466-8810

Fax

(909) 466-8811

NPI assigned

Oct 18, 2006

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Temple University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score

84.62 of 100Reported as individual

Quality

65

Improvement activities

40

Cost

78.74

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• California Institute of Cardiovascular Health, Inc

  • Interventional Cardiology Physician
  • Rancho Cucamonga, CA
  • NPI 1053752915
  Medicare reassignment NPD Authorized official
• Cardio Vascular Health and Nutrition

  • Cardiovascular Disease Physician
  • Rancho Cucamonga, CA
  • NPI 1174029631
  Medicare reassignment NPD
• Rancho Heart Institute

  • Cardiovascular Disease Physician
  • Rancho Cucamonga, CA
  • NPI 1881212793
  Authorized official Same address or phone
• Modern Nuclear, Inc.

  • Nuclear Medicine Technology Radiologic Technologist
  • La Habra, CA
  • NPI 1063851335
  NPD
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  NPD (past)
• Northern Westchester Hospital Association

  dba Northern Westchester Hospital

  • General Acute Care Hospital
  • Mount Kisco, NY
  • NPI 1912992215
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1952482333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD STE 365",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307602",
            "telephone_number": "909-466-8810",
            "fax_number": "909-466-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD",
            "address_2": "SUITE #365",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303843",
            "telephone_number": "909-466-8810",
            "fax_number": "909-466-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMOON",
        "first_name": "SHAHDAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A91785",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A91785",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A91785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Ayento, PT, DPT
• Tami L Azarovitz, IBCLC
• Michael Azer, DMD
• Jason A Azie
• Hafizullah Ajmal Azizi, MD
• Lauren Azzam, MSOTR/L
• Azzawi Dental Inc
• Ayah Azzawi
• Maher Azzawi, DDS
• Zaher Azzawi, M.D.

• Interventional Cardiology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.

Verify at the official NPI Registry.