Individual provider Active NPI

Andrea Zaw, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Sacramento, CA
National Provider Identifier
1073994455
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A165032 Issued in CA
Practice address
2335 Stockton Boulevard
Naob 6TH FL.
Sacramento, CA 95817
Phone
(916) 734-7289
Fax
(916) 734-7104
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT209629 PA
Plastic and Reconstructive Surgery Physician 2086S0122X A165032 CA Primary

Addresses

Primary practice location

2335 Stockton Boulevard
Naob 6TH FL.
Sacramento, CA 95817

Mailing address

2335 Stockton Boulevard
Naob 6TH FL.
Sacramento, CA 95817
Phone (916) 734-7289

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
I20210708003129 CA Practitioner - Plastic and Reconstructive Surgery 8527359868 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians

Practice addresses (Care Compare)

1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070

Hospital & facility affiliations

  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue464
Removal of skin lesions34
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165032CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Crescent Wound Care Inc CurrentSince Feb 1, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2021 Accepting new patients
Crescent Wound Care Inc CurrentSince Feb 1, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2021 Accepting new patients
Vohra Wound Physicians of Ca, P.C. CurrentSince Feb 21, 2022 Accepting new patients
Crescent Wound Care Inc Past Accepting new patients
Regents of the Univ of Ca Surgery Past Accepting new patients

Locations

9028 Rose St
Bellflower, CA 90706
Phone (562) 925-4252

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

5265 E Huntington Ave
Fresno, CA 93727
Phone (559) 251-8244

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

3301 C St
Ste 1100
Sacramento, CA 95816
Phone (916) 734-7844

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

612 Main St
Soledad, CA 93960
Phone (831) 678-2462

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1073994455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 STOCKTON BOULEVARD",
            "address_2": "NAOB 6TH FL.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-734-7289",
            "fax_number": "916-734-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 STOCKTON BOULEVARD",
            "address_2": "NAOB 6TH FL.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-734-7289",
            "fax_number": "916-734-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAW",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT209629",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A165032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.