Active NPI
Hoda Haydari Ahwazi, MD
- Family Medicine Physician
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200826
- Practice address
- 43112 15TH St W
Lancaster, CA 93534-6269 - Phone
- (833) 574-2273
- NPI assigned
- Apr 5, 2021
- Last updated
- Oct 17, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 58543 | KY | |
| Family Medicine Physician | 207Q00000X | 200826 | CA | Primary |
Addresses
Primary practice location
43112 15TH St W
Lancaster, CA 93534-6269
Mailing address
43112 15TH St W
Lancaster, CA 93534-6269
Phone (833) 574-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200826 | CA | MD | Family Medicine Physician |
| 58543 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Bartz-Altadonna Community Health Center | Current | Accepting new patients | |
| Bartz-Altadonna Community Health Center | Current | Accepting new patients |
Locations
12560 Boron Ave
Boron, CA 93516
Phone (760) 762-5064
43210 Gingham Ave
Lancaster, CA 93535
Phone 6618744050222
43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317
43322 Gingham Ave
Ste 105
Lancaster, CA 93535
Phone 6618744050222
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
200 Clinic Dr
Fl 1
Madisonville, KY 42431
Phone (270) 825-6680
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1811279763
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Community/Retail Pharmacy
- Lancaster, CA
- NPI 1700672011
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1952980336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43112 15TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935346269",
"telephone_number": "833-574-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43112 15TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935346269",
"telephone_number": "833-574-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHWAZI",
"first_name": "HODA HAYDARI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "58543",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "200826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.