Active NPI
Fibi Leon Azer, PA-C
- Physician Assistant
- Dinuba, CA
National Provider Identifier
1952547002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56210
- Practice address
- 531 N Alta Ave Ste B
Dinuba, CA 93618-3250 - Phone
- (559) 568-3151
- Fax
- (800) 507-1641
- NPI assigned
- Dec 19, 2008
- Last updated
- Apr 22, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-01625 | NC | |
| Physician Assistant | 363A00000X | PA56210 | CA | Primary |
Addresses
Primary practice location
531 N Alta Ave Ste B
Dinuba, CA 93618-3250
Mailing address
531 N Alta Ave Ste B
Dinuba, CA 93618-3250
Phone (559) 568-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56210 | CA | MD | Pharmacist |
| PA56210 | CA | MD | Physician Assistant |
| 0010-01625 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ghods Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1952547002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 N ALTA AVE STE B",
"city": "DINUBA",
"state": "CA",
"postal_code": "936183250",
"telephone_number": "559-568-3151",
"fax_number": "800-507-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 N ALTA AVE STE B",
"city": "DINUBA",
"state": "CA",
"postal_code": "936183250",
"telephone_number": "559-568-3151",
"fax_number": "800-507-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZER",
"first_name": "FIBI",
"middle_name": "LEON",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-01625",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dinuba, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.