Active NPI
Michele L Zucker, M.D.
- Pediatric Adolescent Medicine Physician
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 036.149430
- Practice address
- 2659 State St Ste 100
Carlsbad, CA 92008-1627 - Phone
- (619) 350-6290
- Fax
- (619) 436-4739
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.084839 | OH | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 312011-01 | NY | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | T4095 | TX | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD61181970 | WA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | DR.0067384 | CO | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD432542 | PA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 35.084839 | OH | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 036.149430 | CA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 036.149430 | IL | Primary |
Addresses
Primary practice location
2659 State St Ste 100
Carlsbad, CA 92008-1627
Mailing address
PO Box 131747
Carlsbad, CA 92013-1747
Phone (193) 506-2906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2530069 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.084839 | OH | MD | Pediatrics Physician |
| 036.149430 | CA | MD | Pediatric Adolescent Medicine Physician |
| DR.0067384 | CO | MD | Pediatric Adolescent Medicine Physician |
| 036.149430 | IL | MD | Pediatric Adolescent Medicine Physician |
| 312011-01 | NY | MD | Pediatric Adolescent Medicine Physician |
| MD432542 | PA | MD | Pediatric Adolescent Medicine Physician |
| T4095 | TX | MD | Pediatric Adolescent Medicine Physician |
| MD61181970 | WA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Lurie Children'S Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3550 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 590-2178
Organizations & group practices 5
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.
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- Pediatrics Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1083663538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131747",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920131747",
"telephone_number": "193-506-2906",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2659 STATE ST STE 100",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081627",
"telephone_number": "619-350-6290",
"fax_number": "619-436-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKER",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.084839",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "312011-01",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "TX",
"license": "T4095",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "WA",
"license": "MD61181970",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CO",
"license": "DR.0067384",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD432542",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "OH",
"license": "35.084839",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "036.149430",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IL",
"license": "036.149430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2530069",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.