Ehsan Mohammad Azzami

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

2609 Snowy Egret Way
Elk Grove, CA 95757-8176

Phone

(469) 583-4110

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

No

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1356965537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 SNOWY EGRET WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578176",
            "telephone_number": "469-583-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZAMI",
        "first_name": "EHSAN",
        "middle_name": "MOHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Azevedo, RD
• Lezette Medina Azevedo, MA
• Stephanie Michelle Azevedo
• Fareen Rehana Aziz, RD
• Miriam Azizi
• Deborah A Baad, F.N.P., B.C.
• Erin Baas, MS, CCC-SLP
• Babe Birther LLC
• Pritam K. Babrah, PSY.D.
• Dana Maria Baca, MSW, ASW

• Other Technician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.