Jack Azad, MD - Medicare General Practice in Los Angeles, CA

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Jack Azad, MD is a medicare enrolled "General Practice" physician in Los Angeles, California. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as General Practice. He is a member of the group practice West Coast Wound And Skin Care Inc and his current practice location is 11900 Avalon Blvd, #100, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 756-1317.

Jack Azad is licensed to practice in California (license number A54433) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1841489440.

Contact Information

Jack Azad, MD
11900 Avalon Blvd, #100,
Los Angeles, CA 90061-2867
(323) 756-1317
(323) 756-4015

Map and Direction




Physician's Profile

Full NameJack Azad
GenderMale
SpecialityGeneral Practice
Experience34 Years
Location11900 Avalon Blvd, Los Angeles, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack Azad graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1841489440
  • Provider Enumeration Date: 10/18/2007
  • Last Update Date: 06/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1456313113
  • Enrollment ID: I20041103001215

Medical Identifiers

Medical identifiers for Jack Azad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841489440NPI-NPPES
1891795613OtherCAGROUP/CORPORATION NPI #
0A544334MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice A54433 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Country Villa Los Feliz Nursing CenterLos angeles, CANursing home

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. Jack Azad allows following entities to bill medicare on his behalf.
Entity NameJack Azad Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891795613
PECOS PAC ID: 4284649112
Enrollment ID: O20060214000740
Entity NameImmediate Healthcare Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730570763
PECOS PAC ID: 1052616232
Enrollment ID: O20160225002025
Entity NameWest Coast Wound And Skin Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437675980
PECOS PAC ID: 7315212834
Enrollment ID: O20171010002105
Entity NameIntel Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407368236
PECOS PAC ID: 2769749985
Enrollment ID: O20171127000794
Entity NameConcierge Clinicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891308359
PECOS PAC ID: 1052739950
Enrollment ID: O20200909001491
Entity NameConcierge Specialist Medical Group Inc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518606177
PECOS PAC ID: 1658748587
Enrollment ID: O20221107002564

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. Jack Azad 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
Jack Azad, MD
11900 Avalon Blvd, #100,
Los Angeles, CA 90061-2867

Ph: (323) 756-1317		Jack Azad, MD
11900 Avalon Blvd, #100,
Los Angeles, CA 90061-2867

Ph: (323) 756-1317

Reviews and Comments


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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.