Azul Baker

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834

Phone

(408) 772-3775

NPI assigned

Sep 10, 2021

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced ABA Inc

  • Early Intervention Provider Agency
  • Campbell, CA
  • NPI 1174863518
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2021.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1225707482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "408-772-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "408-772-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AZUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L. Bader, MD
• Sina Badiei
• Kwang Min Bae
• Nikki Bagherzadeh, LMFT
• Angelique Bagley, MFT
• Charles E Baker, PHD
• Noor Baker, MA
• Olga Baker
• Bailey Jane Bakken
• Balancing Act Family Therapy Center PC

• All providers in Campbell, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.