Dr Ehsan Azimi, MD - Medicare Dermatology in El Segundo, CA

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Dr Ehsan Azimi, MD is a medicare enrolled "Dermatology" physician in El Segundo, California. His current practice location is 713 N Douglas St, El Segundo, California. You can reach out to his office (for appointments etc.) via phone at (310) 906-2788.

Dr Ehsan Azimi is licensed to practice in California (license number A172626) 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 1215457015.

Contact Information

Dr Ehsan Azimi, MD
713 N Douglas St,
El Segundo, CA 90245-2830
(310) 906-2788
(310) 906-2786

Map and Direction




Physician's Profile

Full NameDr Ehsan Azimi
GenderMale
SpecialityDermatology
Location713 N Douglas St, El Segundo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215457015
  • Provider Enumeration Date: 06/22/2017
  • Last Update Date: 07/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719236249
  • Enrollment ID: I20210714001987

Medical Identifiers

Medical identifiers for Dr Ehsan Azimi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215457015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A172626 (California)Primary

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. Dr Ehsan Azimi allows following entities to bill medicare on his behalf.
Entity NameComprehensive Dermatology Of Long Beach Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720356827
PECOS PAC ID: 6002076528
Enrollment ID: O20120320001025
Entity NameEl Segundo Dermatology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619351707
PECOS PAC ID: 7315242583
Enrollment ID: O20160225001749

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. Dr Ehsan Azimi 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
Dr Ehsan Azimi, MD
713 N Douglas St,
El Segundo, CA 90245-2830

Ph: (310) 906-2788		Dr Ehsan Azimi, MD
713 N Douglas St,
El Segundo, CA 90245-2830

Ph: (310) 906-2788

Reviews and Comments


Dermatology Doctors in El Segundo, CA

Karan Ann Kortlander, N.P.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2284 E Maple Ave, El Segundo, CA 90245
Phone: 818-468-1806    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.