Individual provider Active NPI

Fibi Leon Azer, PA-C

  • Physician Assistant
  • Dinuba, CA
National Provider Identifier
1952547002
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56210 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56210CAMDPharmacist
PA56210CAMDPhysician Assistant
0010-01625NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.