Individual provider · Type 1 NPI

Dmitriy Vladimirovich Bazaron, CNP

Nurse Practitioner · Sacramento, CA

NPI number 1043728249 Active

Practice location

3234 Marysville Blvd
Sacramento, CA 95815-1411

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95030783 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043728249

Dmitriy Vladimirovich Bazaron, CNP's National Provider Identifier is 1043728249, issued on Jan 22, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 29, 2025.