Individual provider Active NPI

Allen Zachary Verne, M.D.

  • Ophthalmology Physician
  • Walnut Creek, CA
National Provider Identifier
1093749491
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G29473 Issued in CA
Practice address
122 La Casa Via
Suite #223
Walnut Creek, CA 94598-3014
Phone
(925) 943-6800
Fax
(925) 943-6880
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G29473 CA Primary

Addresses

Primary practice location

122 La Casa Via
Suite #223
Walnut Creek, CA 94598-3014

Mailing address

2219 Buchanan Road
Suite #6
Antioch, CA 94509-4200
Phone (925) 522-8850

Other identifiers 1

IdentifierTypeStateIssuer
00G294730MedicaidCA

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
I20080814000200 CA Practitioner - Ophthalmology 0648168617 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G29473CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Nov 4, 2012 Accepting new patients
Alameda Health System Current Accepting new patients
Alameda Health System CurrentSince Nov 4, 2012 Accepting new patients

Locations

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1093749491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 BUCHANAN ROAD",
            "address_2": "SUITE #6",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094200",
            "telephone_number": "925-522-8850",
            "fax_number": "925-522-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LA CASA VIA",
            "address_2": "SUITE #223",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983014",
            "telephone_number": "925-943-6800",
            "fax_number": "925-943-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNE",
        "first_name": "ALLEN",
        "middle_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G29473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G294730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.