FAMILY MEDICINE HEADQUARTERS, INC
NPI 1740757996
Family Medicine in Azusa, CA
About Family Medicine Headquarters, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE HEADQUARTERS, INC (NPI 1740757996) is a healthcare organization registered as a family medicine in Azusa, California and active in the NPI registry since October 2018. The organization lists Shariar Borbor, President / Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medicine Headquarters, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Medicine Headquarters, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Family Medicine Headquarters, Inc's NPI number?
The NPI number for Family Medicine Headquarters, Inc is 1740757996. It was assigned to this organization in the NPPES registry on October 25, 2018.
Where is Family Medicine Headquarters, Inc located?
Family Medicine Headquarters, Inc is located at 521 N Azusa Ave, Azusa, CA 91702. The listed phone number is (626) 334-4061.
What is Family Medicine Headquarters, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Medicine Headquarters, Inc enrolled in Medicare?
Yes. Family Medicine Headquarters, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medicine Headquarters, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Medicine Headquarters, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Family Medicine Headquarters, Inc was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Family Medicine Headquarters, Inc · NPI 1740757996
Family Medicine organization in Azusa, California. Organization record, active in the CMS NPPES registry since October 25, 2018.
## Identity
- **NPI:** 1740757996 (Entity type: Organization)
- **Enumerated:** October 25, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shariar Borbor, PRESIDENT / MEDICAL DIRECTOR
## Practice location
- **Address:** 521 N AZUSA AVE, Azusa, CA 91702-2936
- **Phone:** (626) 334-4061 · **Fax:** (626) 334-6828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740757996) · Data from the CMS NPPES public registry.