Sirenia Bautista Aza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1887 Monterey Hwy Ste 225
San Jose, CA 95112-6192

Phone

(855) 223-7123

NPI assigned

Sep 29, 2021

Sex

Female

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1962174805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482714",
            "telephone_number": "888-512-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 MONTEREY HWY STE 225",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126192",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4246 Berryesa Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953488557",
            "country_code": "US",
            "telephone_number": "831-789-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZA",
        "first_name": "SIRENIA",
        "middle_name": "BAUTISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Suarez Ayubo, P.T.
• Demi Alex Ayuna
• Normita Matias Ayupan, M.D.
• Anjali Ayyappan, DDS
• Rajeshwari Ayyar, MD
• Farsam Fraz Azad, MD
• Nahid Azad, MFT
• Zohreh Azadfar, MD
• Mary Azah
• Izaura Azamat

• 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 Jun 21, 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.