Farooque Azam
Farooque Azam is a Psychiatric/Mental Health Nurse Practitioner provider (Nurse Practitioner) practicing in Pacoima, CA, registered in the NPPES registry with NPI 1689203093 since 2020.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689203093 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Farooque Azam |
| Sex | Male |
| Practice address | 12450 VAN NUYS BLVD STE 200, Pacoima, CA, 91331 |
| Phone | 8188961161 |
| Fax | 8188965069 |
| Enumeration date | 2020-04-07 |
| Last updated in NPPES | 2023-04-10 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | 95014104 | CA |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | 65014104 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6758 | Medicaid | CA | — |
| 7420 | Medicaid | CA | — |
| 7068 | Medicaid | CA | — |
Copy-ready billing details
Provider: Farooque Azam NPI: 1689203093 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 12450 VAN NUYS BLVD STE 200, Pacoima, CA, 91331
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356360226 | Julio Alberto Montano | Individual | Psychiatry Physician | Pacoima, CA |
| 1306866884 | Jessica Held | Individual | Clinical Social Worker | Pacoima, CA |
| 1578670964 | Armen Azatian | Individual | Psychiatry Physician | Pacoima, CA |
| 1639214976 | Stephen Smith | Individual | Case Manager/Care Coordinator | Pacoima, CA |
| 1720116734 | Norma Alvarez | Individual | Mental Health Counselor | Pacoima, CA |
| 1225167273 | Claudia Gonzalez | Individual | Rehabilitation Practitioner | Pacoima, CA |
| 1649397100 | Thidar Moldin | Individual | Clinical Social Worker | Pacoima, CA |
| 1871611194 | Peggy Wilson Jordan | Individual | Marriage & Family Therapist | Pacoima, CA |
Verify this record
Cross-check NPI 1689203093 against the authoritative CMS record: view Farooque Azam on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Farooque Azam practice?
What is the NPI number for Farooque Azam?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-04-10.