NPIMap

Individual provider Active NPI

Phillip G Zentner, MD

  • Radiation Oncology Physician
  • Chula Vista, CA
National Provider Identifier
1063452415
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G83516 Issued in CA
Practice address
751 Medical Center CT
Chula Vista, CA 91911-6617
Phone
(619) 482-5851
Fax
(619) 482-5865
NPI assigned
Jun 7, 2006
Last updated
May 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G83516 CA
Radiation Oncology Physician 2085R0001X G83516 CA Primary

Addresses

Primary practice location

751 Medical Center CT
Chula Vista, CA 91911-6617

Mailing address

PO Box 710488
San Diego, CA 92171-0488
Phone (619) 326-0700

Other identifiers 2

IdentifierTypeStateIssuer
G83516OtherCAMEDICAL LICENSE
00G835160MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120315000716 CA Practitioner - Radiation Oncology 9436200698 Reassigns benefits to 1 organization
I20210121001599 PA Practitioner - Radiation Oncology 9436200698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 W 12TH St
Upcics
Erie, PA 16505-4500
Phone (814) 838-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Cancer Institute Cancer Services Radiation Oncology CurrentSince Feb 1, 2021 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services CurrentSince Feb 1, 2021 Accepting new patients
Oncologics, Inc. Radiation Oncology Past Accepting new patients
Infusion Solutions of California, Inc. Past Accepting new patients
Sharp Chula Vista Medical Center PastSince Aug 1, 2000 Accepting new patients
Deland and Harwood Crowley Partnership Radiation Oncology Past Accepting new patients

Locations

22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221

2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: pzentner278088@upmc.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1063452415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710488",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921710488",
            "telephone_number": "619-326-0700",
            "fax_number": "619-326-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MEDICAL CENTER CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116617",
            "telephone_number": "619-482-5851",
            "fax_number": "619-482-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENTNER",
        "first_name": "PHILLIP",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83516",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G83516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G83516",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G835160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.