Azouz Dental Practice of Sacramento Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AZOUZ DENTAL PRACTICE OF SACRAMENTO INC

Practice address

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

Phone

(916) 961-3383

NPI assigned

Nov 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Darryl Todd Azouz, DDSNPI 1255495347

Title

Owner and Dentist

Phone

(916) 708-2363

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darryl Todd Azouz, D.D.S.

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1255495347
  NPD (past) Authorized official
• Richard A Behl, DDS

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1255589123
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1770052631",
    "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": "916-961-3383"
        },
        {
            "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": "916-961-3383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Watt Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958252152",
            "country_code": "US",
            "telephone_number": "916-482-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6661 Stanford Ranch Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "956772675",
            "country_code": "US",
            "telephone_number": "916-630-1084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZOUZ DENTAL PRACTICE OF SACRAMENTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "AZOUZ",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER AND DENTIST",
        "authorized_official_telephone_number": "916-708-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093883464",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ayala-Morales
• Samantha Ayala
• Brianah A Ayodele
• Alex Ayuli, RBT
• Mariya Sergeyevna Azarov, FNP
• Darryl Todd Azouz, D.D.S.
• Rumteen Babaei
• Robert Babb
• Svyatoslav Babchanik, PT
• Fivia Bagh

• Dental Clinic/Center in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.