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

Michael I Bozuk, MD

Individual provider General Practice Physician · NPI 1700800604

Michael I Bozuk, MD is a General Surgery in Petaluma, California. Graduated from University of California, Davis School of Medicine in 1999, 27 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3835 Cypress Dr Ste 202
Petaluma, CA 94954-6965
Phone: (707) 763-3967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A73703 (CA)
General Practice Physician Taxonomy 208D00000X · Licence A73703 (CA)

Record details

NPI number1700800604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address3835 Cypress Dr, Ste 202, Petaluma, CA 94954-6965

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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