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Active NPI 1043728249 Individual Practitioner Male Practitioner

Dmitriy Vladimirovich Bazaron , CNP

Nurse Practitioner • Sacramento, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dmitriy Bazaron, CNP is a certified Nurse Practitioner practicing in Sacramento, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Dmitriy Bazaron delivers high-quality medical care to the local community at 3234 MARYSVILLE BLVD.

Dmitriy Bazaron maintains professional affiliations with Elica Health Centers, Doctors On Duty Medical Group, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3234 Marysville Blvd

Sacramento, CA 958151411

Telephone 9164542345
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sacramento, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
256 Specialists

Practicing in Sacramento, CA (8378 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bazaron (9 Years) 9 Yrs
Sacramento Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
26 24 $139.00 $73.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
15 12 $21.00 $11.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $171.00 $89.97

Medical Specialties & State Licenses

CMS Verified: 2025-08-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95030783

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Elica Health Centers

4815 Watt Ave, North Highlands, CA 956605108

Phone: 9164542345

Doctors On Duty Medical Group, Inc

1513 Fremont Blvd, Seaside, CA 939554319

Phone: 8318991910

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tara Favis , NP-C

Nurse Practitioner - Family

NPI 1013279132

Nurse Practitioner (Certified)

Dr. Miwako Ohara-Hsu , MD

Internal Medicine

NPI 1023451903

Doctor of Medicine (M.D.)

NPI 1033281365

Doctor of Medicine (M.D.)

Karina Logsdon , RDN

Dietitian, Registered

NPI 1033959788

Registered Dietitian Nutritionist

Vesna Swanson , FNP

Nurse Practitioner - Family

NPI 1033978127

Family Nurse Practitioner

Dr. Cleo Bailey , DDS

Dentist - General Practice

NPI 1043043409

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 29, 2025

Registered at 3234 MARYSVILLE BLVD, SACRAMENTO, CA 958151411 (Tel: 9164542345)

📍
Updated Business Mailing Address August 29, 2025

Registered at 1860 HOWE AVE STE 440, SACRAMENTO, CA 958251098 (Tel: 9165698484)

📍
Updated Practice Location May 30, 2025

Registered at 1513 FREMONT BLVD # E1, SEASIDE, CA 939554319 (Tel: 8318991910)

📍
Updated Business Mailing Address May 30, 2025

Registered at 100 WILSON RD STE 100, MONTEREY, CA 939407885

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2025

Nurse Practitioner (License #95030783 in CA)

📍
Updated Practice Location April 08, 2019

Registered at 2901 TRANSPORT ST SE, ALBUQUERQUE, NM 871064382 (Tel: 5052551717)

📍
Updated Business Mailing Address April 08, 2019

Registered at 2901 TRANSPORT ST SE, ALBUQUERQUE, NM 871064382 (Tel: 5052627110)

📍
Updated Practice Location March 22, 2018

Registered at PRINCETION PLACE NURSING FACILITY, 500 LOUISIANA BLVD NE, ALBUQUERQUE, NM 871088710 (Tel: 5052551717)

📍
Updated Business Mailing Address March 22, 2018

Registered at REGIONAL ADMIN OFFICE, 3341 N 5TH AVE., STE. 209, PHOENIX, AZ 850133812 (Tel: 6027890344)

NPI Profile Active January 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2018

Registered at 337 CARLISLE BLVD NE, ALBUQUERQUE, NM 871061318 (Tel: 3474437717)

📍
Updated Business Mailing Address January 22, 2018

Registered at 337 CARLISLE BLVD NE, ALBUQUERQUE, NM 871061318 (Tel: 3474437717)

👤
Provider Name / Credentials Updated January 22, 2018

Recorded as DMITRIY BAZARON, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2018

Nurse Practitioner (License #CNP-03476 in NM)

🟢
Initial NPI Registration & Enumeration January 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043728249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2018
Last Update: August 29, 2025
Sole Proprietor: No

Mailing Address

1860 Howe Ave Ste 440

Sacramento, CA 958251098

Phone: 9165698484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.