Organization Active NPI

Nikola Lozanov MD Inc

  • Family Medicine Physician
  • Petaluma, CA
National Provider Identifier
1366670747
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93178 Issued in CA
Legal business name
NIKOLA LOZANOV MD INC
Practice address
108 Lynch Creek Way Ste 4
Petaluma, CA 94954-2310
Phone
(707) 782-1244
Fax
(707) 782-1163
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Nikola Yuliev Lozanov, MDNPI 1417968512
Title
MD
Phone
(707) 782-1244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A93178 CA Primary

Addresses

Primary practice location

108 Lynch Creek Way Ste 4
Petaluma, CA 94954-2310

Mailing address

108 Lynch Creek Way Ste 4
Petaluma, CA 94954-2310
Phone (707) 782-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090814000158 CA Part B Supplier - Clinic/Group Practice 9830243518 Receives reassigned benefits from 1 practitioner
Practice locations: Petaluma, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1103038Nikola Lozanov MD, Inc108 Lynch Creek Way #4, Petaluma, CA 94954Provider-performed microscopyJul 30, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIEAAA

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1366670747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LYNCH CREEK WAY STE 4",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542310",
            "telephone_number": "707-782-1244",
            "fax_number": "707-782-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LYNCH CREEK WAY STE 4",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542310",
            "telephone_number": "707-782-1244",
            "fax_number": "707-782-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKOLA LOZANOV MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "LOZANOV",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_middle_name": "YULIEV",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "707-782-1244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.