Farooque Azam, - Medicare Nurse Practitioner in Pacoima, CA

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Farooque Azam, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pacoima, California. His current practice location is 12450 Van Nuys Blvd Ste 200, Pacoima, California. You can reach out to his office (for appointments etc.) via phone at (818) 896-1161.

Farooque Azam is licensed to practice in California (license number 95014104) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689203093.

Contact Information

Farooque Azam,
12450 Van Nuys Blvd Ste 200,
Pacoima, CA 91331-1393
(818) 896-1161
(818) 896-5069

Map and Direction




Provider's Profile

Full NameFarooque Azam
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12450 Van Nuys Blvd Ste 200, Pacoima, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689203093
  • Provider Enumeration Date: 04/07/2020
  • Last Update Date: 04/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941627988
  • Enrollment ID: I20200904001152

Medical Identifiers

Medical identifiers for Farooque Azam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689203093NPI-NPPES
6758MedicaidCA
7420MedicaidCA
7068MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95014104 (California)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 65014104 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Farooque Azam allows following entities to bill medicare on his behalf.
Entity NameHillview Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225073786
PECOS PAC ID: 5597869933
Enrollment ID: O20070324000143
Entity NameBonita House, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073728770
PECOS PAC ID: 1153510953
Enrollment ID: O20110110000671
Entity NameMellow Medical Inc A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407275886
PECOS PAC ID: 3375767403
Enrollment ID: O20140611002222
Entity NameEhab Yacoub Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071
Entity NameFarooque And Associates Psychiatric Healers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730841552
PECOS PAC ID: 7315332814
Enrollment ID: O20220321000247

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Farooque Azam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Farooque Azam,
12450 Van Nuys Blvd Ste 200,
Pacoima, CA 91331-1393

Ph: (818) 896-1161		Farooque Azam,
12450 Van Nuys Blvd Ste 200,
Pacoima, CA 91331-1393

Ph: (818) 896-1161

Reviews and Comments


Nurse Practitioner Nurses in Pacoima, CA

Jenny L. Yoon, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12756 Van Nuys Blvd, Pacoima, CA 91331
Phone: 818-896-0531    
Angie-kolleen Sandico Tan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9606 Cherry Hill St, Pacoima, CA 91331
Phone: 323-620-7412    
Ms. Latonya Burnell, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12756 Van Nuys Blvd, Pacoima, CA 91331
Phone: 818-896-0531    Fax: 818-896-5850
Patrick Murphy,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331
Phone: 818-896-1161    Fax: 818-896-5069
Mae Khristine Ubaldo Adriano, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12540 Pierce St, Pacoima, CA 91331
Phone: 818-897-2193    
Mrs. Urmila (umi) Mukherjee, RNP/CNM
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12756 Van Nuys Blvd, Pacoima, CA 91331
Phone: 818-896-0531    Fax: 818-896-5850
Mrs. Diana Perez Nunez, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12756 Van Nuys Blvd, Pacoima, CA 91331
Phone: 818-896-0531    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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