Active NPI
Daniel J. Trozak, M.D., a.P.C.
- Dermatology Physician
- Modesto, CA
National Provider Identifier
1619078961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryNPI 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.