Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omar Al Azzawi

Individual provider Internal Medicine Physician · NPI 1407581085

Omar Al Azzawi is an Internal Medicine in Modesto, California. Qualified in 2008, 18 years ago. Offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1011 Sylvan Ave
Modesto, CA 95350-1692
Phone: (209) 572-5906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A203176 (CA)

Record details

NPI number1407581085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025
Mailing address1011 Sylvan Ave, Modesto, CA 95350-1692

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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