Marek Bozdech, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G29386 Issued in CA

Practice address

121 Sotoyome St
Santa Rosa, CA 95405-4823

Phone

(707) 546-4062

Fax

(707) 525-4071

NPI assigned

Jul 16, 2006

Last updated

Feb 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Redwood Regional Medical Group

  dba Advanced Imaging

  • Body Imaging Physician
  • Sebastopol, CA
  • NPI 1982791380
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Clinical Medical Laboratory
  • Lakeport, CA
  • NPI 1033294574
  NPD (past)
• Redwood Regional Medical Group, Inc.

  • Surgery Physician
  • Santa Rosa, CA
  • NPI 1215016993
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Advanced Imaging Institute

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1245241462
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Clinical Medical Laboratory
  • Napa, CA
  • NPI 1295810034
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Radiation Oncology Physician
  • Ukiah, CA
  • NPI 1316034630
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Hematology & Oncology Physician
  • Napa, CA
  • NPI 1386731693
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Hematology & Oncology Physician
  • Sebastopol, CA
  • NPI 1477629855
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Clinical Medical Laboratory
  • Petaluma, CA
  • NPI 1487739223
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Clinical Medical Laboratory
  • Santa Rosa, CA
  • NPI 1588743264
  NPD (past)
• Redwood Regional Medical Group, Inc.

  dba Redwood Regional Oncology Center

  • Hematology & Oncology Physician
  • Lakeport, CA
  • NPI 1619064920
  NPD (past)
• Redwood Regional Medical Group, Inc.

  • Surgery Physician
  • Sonoma, CA
  • NPI 1659468973
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1679590509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOTOYOME ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054823",
            "telephone_number": "707-546-4062",
            "fax_number": "707-525-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOTOYOME ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054823",
            "telephone_number": "707-546-4062",
            "fax_number": "707-525-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZDECH",
        "first_name": "MAREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G29386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G293860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Boyd, PT, DPT
• Michael J. Boyers, MD
• Patricia Jean Boyle, PTA
• Sarah Boylen
• John Michael Bozanich, DDS, MS
• Jenna Grace Bozzetto
• Brabetz, Inc. (At Home Nursing Services)
• Ethan Brabo
• Albert Bracamonte
• Braden Partners LP (Pacific Pulmonary Services)

• Hematology & Oncology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.