FAROOQUE AZAM
NPI 1689203093
Nurse Practitioner - Psychiatric/Mental Health in Pacoima, CA

Q: 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.

Q: 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.

Q: 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.

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment

12450 VAN NUYS BLVD STE 200, PACOIMA, CA 91331(818) 896-1161(818) 896-5069 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2023, Oct 12, 2022, Apr 7, 2020 (3 updates tracked since 2020).

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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 and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689203093

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameFAROOQUE AZAM

Location Address12450 VAN NUYS BLVD STE 200Pacoima, CA 91331-1393

Mailing Address12450 Van Nuys Blvd Ste 200Pacoima, CA 91331-1393 · (818) 896-1161 · Fax (818) 896-5069

Phone(818) 896-1161

Fax(818) 896-5069

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 7, 2020

Last NPPES UpdateApril 10, 20233 updates tracked since enumeration

NPPES CertifiedApril 10, 2023

✔ NPI 1689203093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95014104✔ Licensed in CA · 65014104

12450 VAN NUYS BLVD STE 200, Pacoima, CA 91331

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Other Names 1

Professional Name (2)Farooque Azam Farooque Azam

Other Identifiers 3

Medicaid6758CA

Medicaid7420CA

Medicaid7068CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID941627988

PECOS Enrollment IDI20200904001152

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

55 services50 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

18 services18 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

17 services17 patients

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.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MILLICENT CLAYTON

Case Manager/Care Coordinator