Samuel A Bozzette, MD, PHD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G51970 Issued in CA

Practice address

700 W Harbor Dr
Unit 1201
San Diego, CA 92101-7753

Phone

(619) 920-4543

Fax

(619) 255-9500

NPI assigned

Oct 11, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992893929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W HARBOR DR",
            "address_2": "UNIT 1201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017753",
            "telephone_number": "619-920-4543",
            "fax_number": "619-255-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W HARBOR DR",
            "address_2": "UNIT 1201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017753",
            "telephone_number": "619-920-4543",
            "fax_number": "619-255-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZETTE",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G51970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua August Boys, M.D.
• Kim Elizabeth Bozart, LCSW
• Jacklyn Madison Bozarth
• Miriah Bozeman
• Mary Bozigian
• Rick Braatz
• Jesus Sandro Bracamontes Barragan, LVN
• Judy Evelyn Bracamontes
• Jennifer Elizabeth Brackett, PT, DPT
• Rachel Elizabeth Brackett, MS, OTR/L

• Infectious Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.