Active NPI
Azam MD PC
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1992584767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- AZAM MD PC
- Practice address
- 3455 Ingraham St
San Diego, CA 92109-6713 - Phone
- (619) 268-1473
- NPI assigned
- Sep 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Carolyn McJunkin, LMFT
- Title
- Coo
- Phone
- (619) 987-0158
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3455 Ingraham St
San Diego, CA 92109-6713
Mailing address
1602 Jose LN
Escondido, CA 92026-2051
Phone (619) 987-0158
Other names 1
- Daydream MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Escondido, CA
- NPI 1215060991
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1487053336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1992584767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 JOSE LN",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920262051",
"telephone_number": "619-987-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 INGRAHAM ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921096713",
"telephone_number": "619-268-1473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZAM MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "MCJUNKIN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "CAROLYN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "619-987-0158",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Daydream MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.