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

Mr. Justin Joseph Fazio, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154853083

Mr. Justin Joseph Fazio, MD is a Dermatology in Sacramento, California. Graduated from Creighton University School of Medicine in 2017, 9 years ago. Practices with Michael J Fazio, MD Inc, a 2-clinician group. Licensed in California.

Years since qualifying
9
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2017
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Sacramento, CA
Fax: (916) 492-1834

No coordinates on file. Search this address in Google Maps

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence A174428 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154853083
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESSeptember 27, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Michael J Fazio, Md Inc — 2 clinicians
Accepts Medicare assignment Not indicated

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