Morton Zebrack, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A28654 Issued in CA

Practice address

74976 US Highway 111
Indian Wells, CA 92210-7117

Phone

(760) 568-4544

Fax

(760) 568-4555

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indian Wells Medical Center

  • Family Medicine Physician
  • Indian Wells, CA
  • NPI 1548288574

  General Practice

  NPD (past)
• Kelly Chiropractic Inc

  • Chiropractor
  • Indian Wells, CA
  • NPI 1831351998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1003943259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78455 SUNRISE CANYON AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112603",
            "telephone_number": "760-772-5149",
            "fax_number": "760-200-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74976 US HIGHWAY 111",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107117",
            "telephone_number": "760-568-4544",
            "fax_number": "760-568-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBRACK",
        "first_name": "MORTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A28654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN #",
            "identifier": "P00296004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A286540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chance Turnbull, BCBA
• Bruce Calvin Underwood, DR.P.H.,M.S.E.,M.P.H
• Kate Fox Van Grouw, ND
• Welevate for Pain a Medical Corp
• Rustin Craig Wilson, D.C.

• General Practice Physician in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.