Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bianca Bozzano

Individual provider Physician Assistant · NPI 1609699073

Bianca Bozzano is a Physician Assistant in Goodyear, Arizona. Qualified in 2024, 2 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

14455 W Van Buren St
Goodyear, AZ 85338-9209
Phone: (602) 317-8423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609699073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address14455 W Van Buren St, Goodyear, AZ 85338-9209

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Goodyear