DR. KOUSHAN HAIDARZADEH AZAD DMD
NPI 1154533180
Dentist - General Practice in Lompoc, CA
About Dr. Koushan Haidarzadeh Azad Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KOUSHAN HAIDARZADEH AZAD DMD (NPI 1154533180) is an individual general practice provider in Lompoc, California, licensed in Illinois (019026920) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 10 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Koushan Haidarzadeh Azad Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Koushan Azad's NPI number?
The NPI number for Koushan Azad is 1154533180. It was assigned to this individual provider in the NPPES registry on May 3, 2007.
Where is Koushan Azad located?
Koushan Azad practices at 1009 N H St Ste P, Lompoc, CA 93436. The listed phone number is (805) 242-4044.
What is Koushan Azad's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Koushan Azad enrolled in Medicare?
Yes. Koushan Azad is registered in the Medicare PECOS enrollment system.
What insurance does Koushan Azad accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Koushan Azad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Koushan Azad was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Koushan Haidarzadeh Azad, DMD · NPI 1154533180
General Practice provider in Lompoc, California. Individual provider, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1154533180 (Entity type: Individual)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019026920 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1009 N H ST STE P, Lompoc, CA 93436-8141
- **Phone:** (805) 242-4044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154533180) · Data from the CMS NPPES public registry.