Individual provider Active NPI

Zoe Claire Mascola

  • Physician Assistant
  • Anaheim, CA
National Provider Identifier
1073296448
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63507 Issued in CA
Practice address
1711 W Katella Ave
Anaheim, CA 92804-6450
Phone
(714) 400-2959
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 63507 CA Primary

Addresses

Primary practice location

1711 W Katella Ave
Anaheim, CA 92804-6450

Mailing address

1711 W Katella Ave
Anaheim, CA 92804-6450
Phone (714) 400-2959

Other practice location 1

27522 Antonio Pkwy
Ladera Ranch, CA 92694-2165
Phone (949) 207-3786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115001700 CA Practitioner - Physician Assistant 4880046861 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63507CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Dec 4, 2023 Accepting new patients
Sun Medical Group, Inc. CurrentSince Mar 15, 2025 Accepting new patients
Cep America - California CurrentSince Dec 4, 2023 Accepting new patients

Locations

1711 W Katella Ave
Anaheim, CA 92804
Phone (714) 337-9393

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

27522 Antonio Pkwy
Ste P3
Ladera Ranch, CA 92694
Phone (949) 207-3786

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1073296448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046450",
            "telephone_number": "714-400-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046450",
            "telephone_number": "714-400-2959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27522 Antonio Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926942165",
            "country_code": "US",
            "telephone_number": "949-207-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCOLA",
        "first_name": "ZOE",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.