Active NPI
Todd W. Zimmerman, M.D.
- Gastroenterology Physician
- Carmichael, CA
National Provider Identifier
1073654620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G56482
- Practice address
- 6555 Coyle Ave
Suite 330
Carmichael, CA 95608-0303 - Phone
- (916) 965-3702
- Fax
- (916) 965-0335
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G56482 | CA | Primary |
Addresses
Primary practice location
6555 Coyle Ave
Suite 330
Carmichael, CA 95608-0303
Mailing address
6555 Coyle Ave
Suite 330
Carmichael, CA 95608-0303
Phone (916) 965-3702
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ43589Z | Other | CA | MEDICARE SUBMITTER ID |
| G56482 | Other | CA | CA MEDICAL LICENSE |
| ZZZ13842Z | Other | CA | MEDICARE ID - CARMICHAEL |
| ZZZ13841Z | Other | CA | MEDICARE ID - ROSEVILLE |
| ZZZ29516Z | Other | CA | MEDICARE ID - LINCOLN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56482 | CA | MD | General Practice Dentistry |
| G56482 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1073654620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6555 COYLE AVE",
"address_2": "SUITE 330",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080303",
"telephone_number": "916-965-3702",
"fax_number": "916-965-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 COYLE AVE",
"address_2": "SUITE 330",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080303",
"telephone_number": "916-965-3702",
"fax_number": "916-965-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "TODD",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G56482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUBMITTER ID",
"identifier": "ZZZ43589Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE",
"identifier": "G56482",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - CARMICHAEL",
"identifier": "ZZZ13842Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - ROSEVILLE",
"identifier": "ZZZ13841Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - LINCOLN",
"identifier": "ZZZ29516Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.