Elizabeth Bazzano

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

333 Casa Grande Rd
Petaluma, CA 94954-5799

Phone

(707) 778-4677

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1093548810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9173",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954051173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CASA GRANDE RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545799",
            "telephone_number": "707-778-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZANO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Baughman
• Julie Anna Bautista, F.N.P
• Nicholas Bautista, RN
• John Bayer IV
• Gabrielle Baylor, APCC
• Dan Beach, MA
• Dolan Samuel Beaird
• Jasmine Felicia Bean, NP
• Beck Chiropractic Professional Corporation
• Dewayne Albert Beck, HSC

• All providers in Petaluma, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.