ZACHARY LANDUS BOOZE MD
NPI 1992564447
Student in an Organized Health Care Education/Training Program in American Canyon, CA

Active since March 18, 2024PECOS Enrolled
220 SAGEBRUSH LN, AMERICAN CANYON, CA 94503(707) 652-4037 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Landus Booze Md NPPES

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

ZACHARY LANDUS BOOZE MD (NPI 1992564447) is an individual student in an organized health care education/training program in American Canyon, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992564447
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACHARY LANDUS BOOZECredential: MD
Location Address220 SAGEBRUSH LNAmerican Canyon, CA 94503-3147
Mailing Address220 Sagebrush LnAmerican Canyon, CA 94503-3147 · (707) 652-4037
Sole ProprietorYes
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 17, 2024
NPI 1992564447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
220 SAGEBRUSH LN, American Canyon, CA 94503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Zachary Landus Booze Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Zachary Booze's NPI number?

The NPI number for Zachary Booze is 1992564447. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Zachary Booze located?

Zachary Booze practices at 220 Sagebrush Ln, American Canyon, CA 94503. The listed phone number is (707) 652-4037.

What is Zachary Booze's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Booze enrolled in Medicare?

Yes. Zachary Booze is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Booze was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.