SAMAA BAZZI (NPI# 1417590811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417590811 |
| Entity Type | Individual |
| Full Name | SAMAA BAZZI |
| Practice Address |
436 S Magnolia Ave # 101&201 El Cajon CA 92020-5237 |
| Mailing Address |
1601 Precision Park Ln San Diego CA 92173-1345 |
| Practice Telephone | 6196624100 |
| Mailing Telephone | 6196624100 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
436 S MAGNOLIA AVE # 101&201 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255811345 | Bassila Rafou | Counselor | 436 S Magnolia Ave # 101&201, El Cajon, CA 92020-5237 | 2018-08-17 |
| 1386291771 | Nina Anne Webb | Student in an Organized Health Care Education/Training Program | 436 S Magnolia Ave # 101&201, El Cajon, CA 92020-5237 | 2019-08-21 |
| 1679053763 | Media Younus | Counselor | 436 S Magnolia Ave # 101&201, El Cajon, CA 92020-5237 | 2018-08-17 |
| 1376023465 | Sally Khammi | Counselor | 436 S Magnolia Ave # 101&201, El Cajon, CA 92020-5237 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958043 | Marisa Lynn Tavolazzi | Peer Specialist | 1664 Broadway, El Cajon, CA 92021-5201 | 2019-08-22 |
| 1780161331 | Jennifer Roachford | Peer Specialist | 1679 E Main St Ste 102, El Cajon, CA 92021-5212 | 2018-07-26 |
| 1902392558 | Eduardo Chavez | Peer Specialist | 1060 Estes St, El Cajon, CA 92020-7515 | 2018-07-06 |
| 1780118562 | Teresa Ann Van Devere | Peer Specialist | 1060 Estes St, 104, El Cajon, CA 92020-7515 | 2017-04-18 |
| 1972957165 | Stacy Greene | Peer Specialist | 1664 Broadway, El Cajon, CA 92021-5201 | 2016-04-14 |
| 1336506963 | Guadalupe Perez | Peer Specialist | 460 N Magnolia Ave, El Cajon, CA 92020-3610 | 2016-01-27 |
| 1134505654 | Janine Hardman | Peer Specialist | 460 N Magnolia Ave, Suite 110, El Cajon, CA 92020-3610 | 2015-08-06 |
| 1184036659 | Alexandra Marie Signer | Peer Specialist | 460 N Magnolia Ave, El Cajon, CA 92020-3610 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.