Organization Active NPI

Bettina Zatuchni MD a Professional Corporation

  • Gynecology Physician
  • Pleasanton, CA
National Provider Identifier
1083836787
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
BETTINA ZATUCHNI MD A PROFESSIONAL CORPORATION
Practice address
5565 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-5806
Phone
(925) 251-1010
Fax
(925) 251-1017
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Bettina Zatuchni, MDNPI 1295825073
Title
Owner
Phone
(925) 251-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

5565 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-5806

Mailing address

5565 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-5806
Phone (925) 251-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070323000443 CA Part B Supplier - Clinic/Group Practice 5496859894 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1083836787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885806",
            "telephone_number": "925-251-1010",
            "fax_number": "925-251-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885806",
            "telephone_number": "925-251-1010",
            "fax_number": "925-251-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTINA ZATUCHNI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "ZATUCHNI",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-251-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.