Azul Center for Integration

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AZUL CENTER FOR INTEGRATION

Doing business as

Azul Center for Integration

Practice address

186 Isle Royal Circle
Vacaville, CA 95687

Phone

(707) 430-1376

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Maria Carmen Covarrubias, BCBA

Title

Ceo/Clinical Director

Phone

(559) 313-5177

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Azul Center for Integration Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria del Carmen Covarrubias

  • Behavior Analyst
  • Portland, OR
  • NPI 1528425584
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1992311815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010A HARBISON DR # 233",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873900",
            "telephone_number": "559-313-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 ISLE ROYAL CIRCLE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-430-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUL CENTER FOR INTEGRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "COVARRUBIAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "559-313-5177",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REGISTRY",
            "identifier": "1528425584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATION",
            "identifier": "1-15-19396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azul Center for Integration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa H Auyeung, MD
• Ronit Aviv
• Cynthia Nicole Ayala, PPS
• Rebecca Rose Aycock
• Alison Gastorf Aylward, PHD
• Ronjon Derrick Bacani
• Emily Bachleda
• Foyinsola Bademosi
• Lance Badgett, CHW
• Nargis Sarah Bahrami

• Early Intervention Provider Agency in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.