Dr. Robert M. Porzio DO Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20A9155 Issued in CA

Legal business name

DR. ROBERT M. PORZIO DO INC.

Doing business as

BodyLogicMD of San Jose

Practice address

8858 Sun Valley Dr
Palo Cedro, CA 96073-9668

Phone

(888) 817-2321

Fax

(877) 334-8743

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bob Porzio, D.O.

Title

President

Phone

(888) 817-2321

Specialties & licenses 1

Addresses

Other names 1

• BodyLogicMD of San Jose Doing business as

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1659615300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8858 SUN VALLEY DR",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739668",
            "telephone_number": "888-817-2321",
            "fax_number": "877-334-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8858 SUN VALLEY DR",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739668",
            "telephone_number": "888-817-2321",
            "fax_number": "877-334-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT M. PORZIO DO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "PORZIO",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-817-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A9155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of San Jose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindy Louise Crookham, NP
• Pedro Henrique De Freitas, FNP
• Dhami Dentistry Inc.
• Gurvir Singh Dhami, DDS
• Kenneth Vu Dinh
• Bruce Edward Farrell, DDS
• William L Farrell, D.D.S.
• Evan Funk
• Thomas Gandy, MD
• Gateway Medical Services, Inc.

• Specialist in Palo Cedro, CA
• Providers in Palo Cedro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.