MAREK BOZDECH (NPI# 1679590509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679590509 |
| Entity Type | Individual |
| Full Name | MAREK BOZDECH |
| Credential | M.D. |
| Practice Address |
121 Sotoyome St Santa Rosa CA 95405-4823 |
| Practice Telephone | 7075464062 |
| Practice Fax Number | 7075254071 |
| Mailing Telephone | 7075464062 |
| Mailing Fax Number | 7075254071 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G29386 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G293860 | 05 |
| Street Address |
121 SOTOYOME ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023089729 | Marlene Patricia Lennon | Nurse Practitioner | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-01-30 |
| 1821417296 | Nicholas Mcgarvey | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2014-04-14 |
| 1326461708 | Redwood Radiology Group Inc | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2014-01-21 |
| 1225471337 | Alexander Page | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2013-04-09 |
| 1275819641 | Kathleen A Mott | Nurse Practitioner | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2011-10-28 |
| 1720373376 | Anusuya Mokashi | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2011-06-12 |
| 1558651091 | Vivek G. Sahani | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2011-04-18 |
| 1043531643 | Gary Raymond Roper | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2010-06-17 |
| 1316176712 | Lesley M Field | Physician Assistant | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2009-07-07 |
| 1578797601 | Raymond F. Conway IIi | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2009-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669510665 | Jeffrey Z. Ye | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-02-02 |
| 1700960788 | Shafqat M. Akhtar | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1619051695 | Fan Zhang | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1659455640 | Nicolaj Andersen | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1013018035 | Jarrod Paul Holmes | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-09-25 |
| 1326060617 | Helen Collins | Internal Medicine | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-07-24 |
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| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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| City | SANTA ROSA |
| Zip Code | 95405 |
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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.