MRS. NARDINE AZAB MFT
NPI 1417120106
Counselor - Mental Health in Walnut Creek, CA
About Mrs. Nardine Azab Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NARDINE AZAB MFT (NPI 1417120106) is an individual mental health provider in Walnut Creek, California and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nardine Azab Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nardine Azab reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Nardine Azab's NPI number?
The NPI number for Nardine Azab is 1417120106. It was assigned to this individual provider in the NPPES registry on April 2, 2008.
Where is Nardine Azab located?
Nardine Azab practices at 710 S Broadway Suite 300, Walnut Creek, CA 94596. The listed phone number is (925) 295-4145.
What is Nardine Azab's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nardine Azab enrolled in Medicare?
Yes. Nardine Azab is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nardine Azab's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nardine Azab reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nardine Azab's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nardine Azab was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mrs. Nardine Azab, MFT · NPI 1417120106
Mental Health provider in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since April 2, 2008.
## Identity
- **NPI:** 1417120106 (Entity type: Individual)
- **Enumerated:** April 2, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 710 S BROADWAY, SUITE 300, Walnut Creek, CA 94596-5294
- **Phone:** (925) 295-4145
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417120106) · Data from the CMS NPPES public registry.