Michael Bezouska, DO, MS

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

20A7406 Issued in CA

Practice address

Nmrtu Iwakuni
BLDG 110
Fpo, CA 96310

Phone

(315) 255-8400

NPI assigned

Aug 16, 2005

Last updated

Feb 4, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

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.

• Nathaniel G. Rose, M.D., a.P.C.

  dba dba Pacific Beach Urgent Care Med. Grp.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1275689994
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1710979877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 475 BOX 1",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963501200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NMRTU IWAKUNI",
            "address_2": "BLDG 110",
            "city": "FPO",
            "state": "CA",
            "postal_code": "96310",
            "telephone_number": "315-255-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZOUSKA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "20A7406",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "20A7406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Hayden Locke, PSY.D.
• Kristine Mae Pasco
• Joseph Sapoval, DO

• Occupational Medicine Physician in Fpo, CA
• Providers in Fpo, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.