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NASER W. AZAR M.D. INC. NPI 1972673846


NPI Information

NPI: 1972673846
Provider Name: NASER W. AZAR, M.D., INC.,

Doing Business As: VISTA MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0957388

Address:
2071 COMPTON AVE STE 101102
CORONA, CA
ZIP 92881
Phone: (951) 549-0900
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NASER W. AZAR, M.D., INC., is a family medicine in Corona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NASER W. AZAR, M.D., INC., NPI is 1972673846. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Medical Group.

The provider's business location address is:

2071 COMPTON AVE STE 101102
CORONA, CA
ZIP 92881-278
Phone: (951) 549-0900
Fax: (951) 278-8552

The provider's authorized official is Naser Wadie Azar .
The authorized official title is Medical Director and has the following contact phone number (951) 549-0900.

The CLIA number assigned to this NPI record is 05D0957388 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 6/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyNo
2261QU0200XClinic/CenterUrgent CareNo
3261QX0100XClinic/CenterOccupational MedicineNo
4207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.