FAROOQUE AZAM
NPI 1689203093
Nurse Practitioner - Psychiatric/Mental Health in Pacoima, CA
About Farooque Azam NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAROOQUE AZAM (NPI 1689203093) is an individual psychiatric/mental health provider in Pacoima, California, licensed in California (95014104) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gardena, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Farooque Azam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Farooque Azam reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pacoima, CA 91331
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
West Hollywood, CA 90046
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
San Diego, CA 92122
- Reassigned Medicare billing, California enrollment
- 245 clinicians in this Medicare group
El Cajon, CA 92021
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Oakland, CA 94605
- Reassigned Medicare billing, California enrollment
- 8 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91331 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PACOIMA, CA 91331
PACOIMA, CA 91331
PACOIMA, CA 91331
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 Farooque Azam's NPI number?
The NPI number for Farooque Azam is 1689203093. It was assigned to this individual provider in the NPPES registry on April 7, 2020. The provider is also known as Farooque Azam Farooque Azam.
Where is Farooque Azam located?
Farooque Azam practices at 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331. The listed phone number is (818) 896-1161.
What is Farooque Azam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Farooque Azam enrolled in Medicare?
Yes. Farooque Azam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Farooque Azam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Farooque Azam reassigns Medicare benefits to 7 organizations: Hillview Mental Health Center, Inc. (Pacoima, CA), Mellow Medical Inc A Professional Corporation (West Hollywood, CA), Ehab Yacoub MD Inc. (Gardena, CA), Sokyahealth Medical Group PC (San Diego, CA), Talami Health & Wellness, Inc. (El Cajon, CA) and 2 more organizations, listed in the Medicare section above. Each 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 Farooque Azam'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 Farooque Azam was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Farooque Azam · NPI 1689203093
Psychiatric/Mental Health physician in Pacoima, California. Individual provider, active in the CMS NPPES registry since April 7, 2020.
## Identity
- **NPI:** 1689203093 (Entity type: Individual)
- **Enumerated:** April 7, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95014104 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12450 VAN NUYS BLVD STE 200, Pacoima, CA 91331-1393
- **Phone:** (818) 896-1161 · **Fax:** (818) 896-5069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Hillview Mental Health Center, Inc. (NPI 1225073786, Pacoima, CA); Mellow Medical Inc A Professional Corporation (NPI 1407275886, West Hollywood, CA); Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA); Sokyahealth Medical Group PC (NPI 1942970330, San Diego, CA); Talami Health & Wellness, Inc. (NPI 1942895065, El Cajon, CA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 10, 2023
- **Other identifiers:** Medicaid 6758 (CA); Medicaid 7420 (CA); Medicaid 7068 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1689203093) · Data from the CMS NPPES public registry.