Moulay-Khalid Bazzi El Idrissi

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

100 Oconnor Dr Ste 21
San Jose, CA 95128-1638

Phone

(855) 295-3276

NPI assigned

Dec 20, 2019

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": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1669011698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767938",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300767938",
            "telephone_number": "818-241-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 21",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281638",
            "telephone_number": "855-295-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI EL IDRISSI",
        "first_name": "MOULAY-KHALID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzel Bazaldua Orozco
• Stephany Guadalupe Bazan Inoue
• Leslie Bazan
• Kimberly Ann Bazar, MD
• Irina Bazarov, D.P.M.
• Mona Bazzi, MSW
• BDHV Medical Group of California, PC
• BDHV Medical Group of California, PC
• BDHV Optical Group of Ca, PC
• Be Love Therapy, Inc.

• Behavior Technician in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.