Active NPI
Azaam Mamoor, MD
- Neurology Physician
- Elk Grove, CA
National Provider Identifier
1992403901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- LL3990
- Practice address
- 9700 W Taron Dr
Elk Grove, CA 95757-8145 - Phone
- (916) 686-7300
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LL3990 | NV | Primary |
Addresses
Primary practice location
9700 W Taron Dr
Elk Grove, CA 95757-8145
Mailing address
9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 916-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL3990 | NV | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1992403901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 W SUNSET RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-916-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 W TARON DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957578145",
"telephone_number": "916-686-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMOOR",
"first_name": "AZAAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "LL3990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.