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DMITRIY VLADIMIROVICH BAZARON CNP
NPI 1043728249
Nurse Practitioner in Sacramento, CA

Active since January 22, 2018PECOS EnrolledAccepts Medicare Assignment
3234 MARYSVILLE BLVD, SACRAMENTO, CA 95815(916) 454-2345 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2025, Apr 8, 2019, Mar 22, 2018 (3 updates tracked since 2018).

About Dmitriy Vladimirovich Bazaron Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DMITRIY VLADIMIROVICH BAZARON CNP (NPI 1043728249) is an individual nurse practitioner in Sacramento, California, licensed in California (95030783) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043728249
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDMITRIY VLADIMIROVICH BAZARONCredential: CNP
Location Address3234 MARYSVILLE BLVDSacramento, CA 95815-1411
Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484
Phone(916) 454-2345
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 22, 2018
Last NPPES UpdateAugust 29, 20253 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1043728249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95030783
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3234 MARYSVILLE BLVD, Sacramento, CA 95815
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dmitriy Vladimirovich Bazaron Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567724743
PECOS Enrollment IDI20250514003828
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Dmitriy Bazaron reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elica Health Centers
Same address
Federally Qualified Health Center (FQHC)
3234 MARYSVILLE BLVD
Sacramento, CA 95815
  • Reassigned Medicare billing, California enrollment
  • 91 clinicians in this Medicare group
NPI 1346784295 (916) 454-2345
Doctors On Duty Medical Group, Inc
136 mi
Urgent Care
1212 S MAIN ST
Salinas, CA 93901
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group
NPI 1568465466 (831) 422-7777
Post Acute Rehabilitation Physicians LLC
525 mi
Physical Medicine & Rehabilitation
2750 N DIGITAL DR
Lehi, UT 84043
  • Reassigned Medicare billing, New Mexico enrollment
  • 25 clinicians in this Medicare group
NPI 1023781028 (801) 215-9309
New Mexico Center For Pain And Wellness, LLC
850 mi
Pain Medicine
6330 RIVERSIDE PLAZA LN NW STE 100
Albuquerque, NM 87120
  • Reassigned Medicare billing, New Mexico enrollment
  • 28 clinicians in this Medicare group
NPI 1033803143 (505) 322-6687
Ipc Hospitalists Of New Mexico, Inc
856 mi
Internal Medicine
8208 LOUISIANA BLVD NE, STE. C
Albuquerque, NM 87113
  • Reassigned Medicare billing, New Mexico enrollment
  • 25 clinicians in this Medicare group
NPI 1578839163 (602) 789-0344
New Mexico Urgent Care Walk-In Clinic LLC
859 mi
Urgent Care
3111 EUBANK BLVD NE
Albuquerque, NM 87111
  • Reassigned Medicare billing, New Mexico enrollment
  • 16 clinicians in this Medicare group
NPI 1700473824 (954) 643-8510
New Mexico Urgent Care Walk-In Clinic Juan Tabo LLC
860 mi
Urgent Care
10820 COMANCHE RD NE STE A
Albuquerque, NM 87111
  • Reassigned Medicare billing, New Mexico enrollment
  • 14 clinicians in this Medicare group
NPI 1508510199 (505) 508-4068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$70.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELAINE SHAN M.D.
Pediatrics
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (918) 407-2495
MS. CINDA LEE TEJERAS LCSW
Social Worker
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-1200
HALIFU OSAMURE PRINCE
Counselor
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 454-2345
ANDREW DAVID BOWMAN MD
Pediatrics
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 454-2345
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Family Medicine
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-1200
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Non-Pharmacy Dispensing Site
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-1200
ELICA HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 454-2345
BIRTH AND FAMILY HEALTH CENTER
Clinic/Center (Family Planning, Non-Surgical)
3234 MARYSVILLE BLVD
SACRAMENTO, CA 95815
Sacramento County (916) 646-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dmitriy Bazaron's NPI number?

The NPI number for Dmitriy Bazaron is 1043728249. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Dmitriy Bazaron located?

Dmitriy Bazaron practices at 3234 Marysville Blvd, Sacramento, CA 95815. The listed phone number is (916) 454-2345.

What is Dmitriy Bazaron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dmitriy Bazaron enrolled in Medicare?

Yes. Dmitriy Bazaron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dmitriy Bazaron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dmitriy Bazaron reassigns Medicare benefits to 7 organizations: Elica Health Centers (Sacramento, CA), Doctors On Duty Medical Group, Inc (Salinas, CA), Post Acute Rehabilitation Physicians LLC (Lehi, UT), New Mexico Center For Pain And Wellness, LLC (Albuquerque, NM), Ipc Hospitalists Of New Mexico, Inc (Albuquerque, NM) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dmitriy Bazaron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dmitriy Bazaron was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.