NPIMap

Individual provider Active NPI

Nikola Yuliev Lozanov, MD

  • Family Medicine Physician
  • Petaluma, CA
National Provider Identifier
1417968512
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
Practice address
108 Lynch Creek Way
Suite 4
Petaluma, CA 94954-2357
Phone
(707) 782-1244
NPI assigned
Aug 11, 2006
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A93178 CA Primary

Addresses

Primary practice location

108 Lynch Creek Way
Suite 4
Petaluma, CA 94954-2357

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlofficemanager@att.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000477 CA Practitioner - Family Practice 7618977877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.32 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
81.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A93178CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nikola Lozanov MD Inc Family Medicine CurrentSince Jul 1, 2009 Accepting new patients
Chase Dennis Emergency Medical Group Inc Family Medicine Past Accepting new patients
Sonoma Pain Management, Inc PastSince Jul 7, 2009 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients

Locations

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

Interoperability endpoints

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

Organizations & group practices 5

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1417968512",
    "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",
            "address_2": "SUITE 4",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542357",
            "telephone_number": "707-782-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANOV",
        "first_name": "NIKOLA",
        "middle_name": "YULIEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlofficemanager@att.net",
            "affiliation": "N",
            "address_1": "108 Lynch Creek Way",
            "address_2": "Suite 4",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949542357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.