MATTHEW AZZAM
NPI 1427603315
Licensed Vocational Nurse in Murrieta, CA

Q: What is Matthew Azzam's NPI number?

The NPI number for Matthew Azzam is 1427603315. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Q: What is Matthew Azzam's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Azzam was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 07, 2019

24275 JEFFERSON AVE, MURRIETA, CA 92562(951) 677-5599 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2020, Aug 7, 2019 (2 updates tracked since 2019).

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About Matthew Azzam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW AZZAM (NPI 1427603315) is an individual licensed vocational nurse in Murrieta, California, licensed in California (692783) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1427603315

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameMATTHEW AZZAM

Location Address24275 JEFFERSON AVEMurrieta, CA 92562-7285

Mailing Address24275 Jefferson AveMurrieta, CA 92562-7285 · (951) 677-5599

Phone(951) 677-5599

Sole ProprietorYes

Enumeration DateAugust 7, 2019

Last NPPES UpdateJanuary 15, 20202 updates tracked since enumeration

✔ NPI 1427603315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 692783

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

24275 JEFFERSON AVE, Murrieta, CA 92562

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DENIELLE ANTONIETTE DANIEL

Counselor (Mental Health)