Darryl Todd Azouz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47447 Issued in CA

Practice address

5414 Sunrise Blvd Ste D
Citrus Heights, CA 95610-7803

Phone

(530) 913-2748

Fax

(916) 630-1301

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Darryl Todd Azouz, DDS, Inc

  • Dental Clinic/Center
  • Rocklin, CA
  • NPI 1285273284
  NPD Authorized official
• Azouz Dental Practice of Sacramento Inc

  • Dental Clinic/Center
  • Citrus Heights, CA
  • NPI 1770052631
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1255495347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 SUNRISE BLVD STE D",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107803",
            "telephone_number": "530-913-2748",
            "fax_number": "916-630-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 SUNRISE BLVD STE D",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107803",
            "telephone_number": "530-913-2748",
            "fax_number": "916-630-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZOUZ",
        "first_name": "DARRYL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID #",
            "identifier": "13566012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ayala-Morales
• Samantha Ayala
• Brianah A Ayodele
• Alex Ayuli, RBT
• Azouz Dental Practice of Sacramento Inc
• Rumteen Babaei
• Robert Babb
• Svyatoslav Babchanik, PT
• Fivia Bagh
• Sonia Bains

• General Practice Dentistry in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.