Thomas A Bzoskie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G72448 Issued in CA

Practice address

8170 Laguna Blvd Ste 113
Elk Grove, CA 95758-7902

Phone

(916) 478-6561

Fax

(916) 478-6573

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tbzoskie55481@hpmg.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Everest Medical Group Inc

  • Urgent Care Clinic/Center
  • Sacramento, CA
  • NPI 1942504360
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1013930866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 GATEWAY OAKS DR STE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 LAGUNA BLVD STE 113",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587902",
            "telephone_number": "916-478-6561",
            "fax_number": "916-478-6573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8170 Laguna Blvd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957587902",
            "country_code": "US",
            "telephone_number": "916-478-6561",
            "fax_number": "916-478-6573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BZOSKIE",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00G724480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G072448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kai Butler
• Butterfly Kisses Doula Services, LLC
• Lynn M Buttino, O.D.
• Kelly Byam, D.V.M.
• Faith Byrd
• Damaris Caballery
• Jonathon Cabello
• Sabrina Nicole Cabitac-Washington
• Marisol Cabrera
• Nia Millisa Cade

• Family Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.