Organization Active NPI

Naser W. Azar, M.D., Inc.,

Doing business as Vista Medical Group

  • Family Medicine Physician
  • Corona, CA
National Provider Identifier
1972673846
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NASER W. AZAR, M.D., INC.,
Doing business as
Vista Medical Group
Practice address
2071 Compton Ave Ste 101102
Corona, CA 92881-7278
Phone
(951) 549-0900
Fax
(951) 278-8552
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Dr. Naser Wadie Azar, M.D.
Title
Medical Director
Phone
(951) 549-0900

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Radiology Clinic/Center 261QR0200X
Urgent Care Clinic/Center 261QU0200X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

2071 Compton Ave Ste 101102
Corona, CA 92881-7278

Mailing address

PO Box 1245
Colton, CA 92324-0822
Phone (951) 549-0900

Other names 1

  • Vista Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

1820 Fullerton Ave
Ste 140
Corona, CA 92881
Phone (951) 549-0900

2071 Compton Ave
Ste 101102
Corona, CA 92881
Phone (951) 549-0900

2071 Compton Ave
Corona, CA 92881
Phone (714) 317-2453

2071 Compton Ave
#101102
Corona, CA 92881

1222 Magnolia Ave
Ste E103
Corona, CA 92881
Phone (909) 549-0900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1972673846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240822",
            "telephone_number": "951-549-0900",
            "fax_number": "951-278-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 COMPTON AVE STE 101102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817278",
            "telephone_number": "951-549-0900",
            "fax_number": "951-278-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASER W. AZAR, M.D., INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "NASER",
        "authorized_official_middle_name": "WADIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-549-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.