Individual provider Active NPI

Zain Kadri, M.D

  • Facial Plastic Surgery Physician
  • Palmdale, CA
National Provider Identifier
1073678736
Registry record updated Oct 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A34819 Issued in CA
Practice address
38660 Medical Center Dr
Suite A200
Palmdale, CA 93551-4385
Phone
(661) 221-1161
Fax
(888) 959-4959
NPI assigned
Dec 23, 2006
Last updated
Oct 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A34819 CA Primary

Addresses

Primary practice location

38660 Medical Center Dr
Suite A200
Palmdale, CA 93551-4385

Mailing address

38660 Medical Center Dr
Suite A200
Palmdale, CA 93551-4385
Phone (661) 221-1161

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000636 CA Practitioner - Otolaryngology 7911909429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4620 Beverly Blvd
Suite 100
Los Angeles, CA 90004-3102
Phone (323) 848-4122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced ENT - Head & Neck Surgery, PC. CurrentSince May 9, 2013 Accepting new patients
Beverly Western Medical Group Inc CurrentSince Mar 5, 2025 Accepting new patients

Locations

4620 Beverly Blvd
Ste 100
Los Angeles, CA 90004
Phone (323) 848-4122

38640 5TH W St
Palmdale, CA 93551
Phone (661) 878-9810

38640 5TH W St
Palmdale, CA 93551
Phone (661) 878-9810

38660 Medical Center Dr
Ste A200
Palmdale, CA 93551
Phone (661) 221-1161

Organizations & group practices 2

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 5

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": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349481600000",
    "number": "1073678736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38660 MEDICAL CENTER DR",
            "address_2": "SUITE A200",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514385",
            "telephone_number": "661-221-1161",
            "fax_number": "888-959-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38660 MEDICAL CENTER DR",
            "address_2": "SUITE A200",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514385",
            "telephone_number": "661-221-1161",
            "fax_number": "888-959-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADRI",
        "first_name": "ZAIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-23",
        "last_updated": "2012-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A34819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.