NPIMap

Individual provider Active NPI

Maged Azer, M.D.

  • Cardiovascular Disease Physician
  • Orange, CA
National Provider Identifier
1992730709
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A53477 Issued in CA
Practice address
1140 W. la Veta Ave
Suite # 640
Orange, CA 92868-4228
Phone
(714) 564-3300
Fax
(714) 564-3318
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A53477 CA Primary

Addresses

Primary practice location

1140 W. la Veta Ave
Suite # 640
Orange, CA 92868-4228

Mailing address

1140 W. la Veta Ave
Suite # 640
Orange, CA 92868-4228
Phone (714) 564-3300

Other identifiers 1

IdentifierTypeStateIssuer
A53477OtherARMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000489 CA Practitioner - Cardiovascular Disease (Cardiology) 5193864437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 640
Orange, CA 92868-4228

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as individual
Quality
75.82
Promoting interoperability
100
Improvement activities
40
Cost
69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53477CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyson C. Cobb, M.D., Inc CurrentSince Oct 13, 2008 Accepting new patients
Orange County Heart Institute and Research Center a Medical Group Cardiovascular Disease CurrentSince Oct 15, 2001 Accepting new patients
University of California Irvine Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Usc Care Medical Group, Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992730709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W. LA VETA AVE",
            "address_2": "SUITE # 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "714-564-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W. LA VETA AVE",
            "address_2": "SUITE # 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "714-564-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZER",
        "first_name": "MAGED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A53477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A53477",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.