Advanced Life Care Medical Group

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G66875 Issued in CA

Legal business name

ADVANCED LIFE CARE MEDICAL GROUP

Practice address

2255 S 88TH St
Louisville, CO 80027-9716

Phone

(303) 673-9990

Fax

(949) 208-6981

NPI assigned

Jul 10, 2006

Last updated

Jan 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Zona, M.D.NPI 1700075892

Title

Owner

Phone

(310) 261-0035

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Michael A. Zona, MD Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A. Zona, M.D.

  • Psychiatry Physician
  • Boulder, CO
  • NPI 1700075892
  Authorized official Same address or phone
• Dixie Stiles, NP

  • Nurse Practitioner
  • Orange, CA
  • NPI 1386613941
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1093749012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805440819",
            "telephone_number": "310-261-0035",
            "fax_number": "949-208-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S 88TH ST",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279716",
            "telephone_number": "303-673-9990",
            "fax_number": "949-208-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIFE CARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "ZONA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-261-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G66875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN3641",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ48692Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A. Zona, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martin Achtermann, D.C.
• Kimberley Anne Adam
• Nicholas Adams, MA, LPCC
• Advanced Diagnostic Fna Biopsy Clinic, LLC
• Advanced Family Health PLLC
• Elizabeth Agnew, PT, DPT
• Susan Ahlberg, RD
• Elizabeth Crow Akasaka, PA-C
• Adeola Adetola Akinlonu, MD
• Elizabeth Alaimo, DO

• Psychiatry Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.