Active NPI
Allen Zachary Verne, M.D.
- Ophthalmology Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G29473
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G294730 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29473 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | 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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1023219821
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.