Organization Active NPI

Daniel J. Trozak, M.D., a.P.C.

  • Dermatology Physician
  • Modesto, CA
National Provider Identifier
1619078961
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DANIEL J. TROZAK, M.D., A.P.C.
Practice address
1444 Florida Ave
Suite 201
Modesto, CA 95350-4400
Phone
(209) 526-4384
Fax
(209) 526-4385
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J. Robert West, M.D.
Title
President
Phone
(909) 335-8649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1444 Florida Ave
Suite 201
Modesto, CA 95350-4400

Mailing address

101 E Redlands Blvd
Suite 212
Redlands, CA 92373-4775
Phone (909) 335-8649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619078961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD",
            "address_2": "SUITE 212",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734775",
            "telephone_number": "909-335-8649",
            "fax_number": "909-335-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FLORIDA AVE",
            "address_2": "SUITE 201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504400",
            "telephone_number": "209-526-4384",
            "fax_number": "209-526-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. TROZAK, M.D., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-335-8649",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.