OrganizationActive
Mazimo Azucena Afh
NPI 1205230489 · Exclusive Provider Organization · Everett, WA
Provider details
- NPI number
- 1205230489
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Maximo Azucena, Provider(425) 322-5328
- License
- 751038 (WA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10522 19th Pl W
Everett, WA 98204-3663
Phone: (425) 322-5328
Fax: (425) 322-5328
Street-level locationGet directions
Mailing address
10522 19th Pl W
Everett, WA 98204-3663
Registry dates
- Enumerated
- 2014-10-16
- Last updated
- 2014-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.