Individual provider Active NPI

James Jerome Zimmerman, M.D.

  • Vascular Surgery Physician
  • Redwood City, CA
National Provider Identifier
1093729121
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G39110 Issued in CA
Practice address
2900 Whipple Ave
Suite 225
Redwood City, CA 94062-2851
Phone
(650) 366-0225
Fax
(650) 367-6085
NPI assigned
Jul 27, 2006
Last updated
May 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G39110 CA
Diagnostic Radiology Physician 2085R0202X G39110 CA
Vascular & Interventional Radiology Physician 2085R0204X G39110 CA
Vascular Surgery Physician 2086S0129X G39110 CA Primary

Addresses

Primary practice location

2900 Whipple Ave
Suite 225
Redwood City, CA 94062-2851

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 366-0225

Other identifiers 3

IdentifierTypeStateIssuer
GR0052800MedicaidCA
00G391100MedicaidCA
CP2153OtherCAMEDICARE RAILROAD

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
I20080702000383 CA Practitioner - Vascular SurgeryPractitioner - Interventional Radiology 6406869593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Interventional Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

123 S San Mateo Dr
San Mateo, CA 94401-3804
Phone (650) 343-4200

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400

170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Phone (650) 369-5811

2440 Sister Mary Columba Dr
Suite 100
Red Bluff, CA 96080-4356
Phone (650) 366-0225

2900 Whipple Ave
Redwood City, CA 94062-2851

550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)37
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G39110CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Apr 11, 2012 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 11, 2012 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Enumclaw Regional Hospital Association Past Accepting new patients
El Camino Hospital Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Pacific Coast Cardiac & Vascular Surgeons Orthopaedic Surgery Past Accepting new patients
Sequoia Health Services Past Accepting new patients
Seton Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Diagnostic Radiology Past Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

23845 Holman Hwy
Ste 220
Monterey, CA 93940
Phone (831) 241-9170

1174 Castro St
Ste 200
Mountain View, CA 94040
Phone (408) 645-7800

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

2440 Sister Mary Columba Dr
Ste 100
Red Bluff, CA 96080
Phone (650) 366-0225

290 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 598-3160

2900 Whipple Ave
Ste 225
Redwood City, CA 94062
Phone (650) 306-0800

301 Industrial Rd
Fl 2
San Carlos, CA 94070
Phone (650) 596-4030

2340 Clay St
Ste 114
San Francisco, CA 94115
Phone (415) 600-1051

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1575 Soquel Dr
Ste C
Santa Cruz, CA 95065
Phone (831) 458-6240

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: jzimmermanmdpmpa112429@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1093729121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "650-366-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WHIPPLE AVE",
            "address_2": "SUITE 225",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622851",
            "telephone_number": "650-366-0225",
            "fax_number": "650-367-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JAMES",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G39110",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G39110",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G39110",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G39110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052800",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G391100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CP2153",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.