Zachary Landus Booze, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · American Canyon, CA
NPI 1992564447 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1992564447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 220 Sagebrush LN
American Canyon, CA 94503-3147 - Phone
- (707) 652-4037
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250919001079 | CA | Order and Referring Only - Orthopedic Surgery |
6002310257 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Yes |
Addresses
Primary practice location
220 Sagebrush LN
American Canyon, CA 94503-3147
Mailing address
220 Sagebrush LN
American Canyon, CA 94503-3147
Phone (707) 652-4037
Other providers in American Canyon, CA
- Yasbleidy Baron
- Frances Brlit Benko
- Florence Birungi
- Karen Black
- Tracey Lynn Bledsoe
- Pia Briones
- Cabugao DDS Inc
- Kevin James Cabugao
- California Dental Care, Nahreen Imam, DDS, Inc.
- Canyon Ranch Dental Care Inc.
All providers in American Canyon, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.