Namaz Habroun, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12010 Roaring River Ave
Bakersfield, CA 93311-9308

Phone

(661) 663-0898

NPI assigned

Jun 12, 2007

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Namaz Habroun Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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

• Innovative Vitality ABA Inc.

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  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1710181185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 RANCHO CORDOVA ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119128",
            "telephone_number": "661-477-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 ROARING RIVER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119308",
            "telephone_number": "661-663-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 S H St",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934366821",
            "country_code": "US",
            "telephone_number": "805-735-5550",
            "fax_number": "805-735-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABROUN",
        "first_name": "NAMAZ",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-34549",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nhabroun@cyhf.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12010 Roaring River Ave",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933119308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NAMAZ",
            "last_name": "HABROUN",
            "prefix": "MS.",
            "credential": "M.A., BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• H Street Dentistry (none)
• H. Azad Dental Corporation (CaliDental Bakersfield Mall View)
• Benjamin P. Ha, MD
• MD Moksedul Habib, M.D.
• Habitat for Humanity Golden Empire
• Selamawit Habtom
• Hacienda Dental
• Adam Hacker
• Jennifer Rae Hacker
• Maraam Haddad, ASW, CADC-II

• Case Manager/Care Coordinator in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Case Manager/Care Coordinator in California

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