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

Dmitriy Vladimirovich Bazaron, CNP

Individual provider Nurse Practitioner · NPI 1043728249

Dmitriy Vladimirovich Bazaron, CNP is a Nurse Practitioner in Sacramento, California. Qualified in 2017, 9 years ago. Practices with Doctors on Duty Medical Group, Inc, a 64-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3234 Marysville Blvd
Sacramento, CA 95815-1411
Phone: (916) 454-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95030783 (CA)

Record details

NPI number1043728249
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 22, 2018
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Doctors On Duty Medical Group, Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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