John D. Zdral, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G80899 Issued in CA

Legal business name

JOHN D. ZDRAL, M.D., INC.

Practice address

301 W Bastanchury Rd
Suite 10
Fullerton, CA 92835-3419

Phone

(714) 879-7372

Fax

(714) 879-4301

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John David Zdral, M.D.NPI 1801993944

Title

Medical Director

Phone

(714) 879-7372

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• John D. Zdral, M.D., Inc.

  • Eyewear Supplier
  • Fullerton, CA
  • NPI 1801065578

  3577684406

  Same PAC ID

Tax ID family

John D Zdral MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John D. Zdral, M.D., Inc.

  • Eyewear Supplier
  • Fullerton, CA
  • NPI 1801065578
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John David Zdral, MD

  • Ophthalmology Physician
  • Fullerton, CA
  • NPI 1801993944
  Medicare reassignment Care Compare group NPD Authorized official
• John Erick Esser, OD

  • Optometrist
  • Fullerton, CA
  • NPI 1790855062
  Medicare reassignment Care Compare group NPD
• Jeffrey Zhou Tsao, M.D.

  • Ophthalmology Physician
  • Fullerton, CA
  • NPI 1770024101
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1013186352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 10",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-879-7372",
            "fax_number": "714-879-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 10",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-879-7372",
            "fax_number": "714-879-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. ZDRAL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ZDRAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-879-7372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G80899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.