Individual provider Active NPI

Charles R Zipkin, M.D.

  • Specialist
  • Truckee, CA
National Provider Identifier
1063418309
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A237470 Issued in CA
Practice address
10833 Donner Pass Rd
Ste101
Truckee, CA 96161-4851
Phone
(530) 587-7208
Fax
(530) 587-7208
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00A237470 CA Primary

Addresses

Primary practice location

10833 Donner Pass Rd
Ste101
Truckee, CA 96161-4851

Mailing address

10833 Donner Pass Rd
Ste 101
Truckee, CA 96161-4851
Phone (530) 587-7208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A237470CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group PastSince Jan 1, 2000 Accepting new patients
University of California SFGH Medical Group Past Accepting new patients
Tahoe Forest Hospital District PastSince Dec 11, 2014 Accepting new patients
Onuma and Lee MD'S PastSince Nov 11, 1997 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063418309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 DONNER PASS RD",
            "address_2": "STE 101",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614851",
            "telephone_number": "530-587-7208",
            "fax_number": "530-587-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 DONNER PASS RD",
            "address_2": "STE101",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614851",
            "telephone_number": "530-587-7208",
            "fax_number": "530-587-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPKIN",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A237470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.