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

Robert T. Petruzzo Jr., DO

Individual provider Body Imaging Physician · NPI 1578615936

Robert T. Petruzzo Jr., DO is a Diagnostic Radiology in San Diego, California. Qualified in 1975, 51 years ago. Practices with Sol Radiology Inc, a 81-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
51
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4405 Vandever Ave
San Diego, CA 92120-3315
Phone: (619) 528-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence 20A4255 (CA)

Record details

NPI number1578615936
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 17, 2007
Last updated in NPPESApril 28, 2008

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Sol Radiology Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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