Individual provider Active NPI

Zhi Zeng, MD

  • Internal Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1093801854
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70119 Issued in CA
Practice address
316 E Las Tunas Dr Ste 102
San Gabriel, CA 91776-1504
Phone
(626) 300-8880
NPI assigned
Oct 5, 2006
Last updated
May 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70119 CA Primary

Addresses

Primary practice location

316 E Las Tunas Dr Ste 102
San Gabriel, CA 91776-1504

Mailing address

316 E Las Tunas Dr
Ste 102
San Gabriel, CA 91776-1535
Phone (626) 300-8880

Other identifiers 2

IdentifierTypeStateIssuer
00A701190MedicaidCA
1093801854OtherCANPI

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
I20100626000338 CA Practitioner - Internal Medicine 5496886046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

316 E Las Tunas Dr
Suite 102
San Gabriel, CA 91776-1535
Phone (626) 300-8880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70119CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Z & C Medical Group Inc Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Second Bio Lab Clinical Laboratory PastSince Jan 1, 2022 Accepting new patients

Locations

320 W Valley Blvd
Alhambra, CA 91803
Phone (626) 616-8695

19115 Colima Rd
Unit 205
Rowland Heights, CA 91748
Phone (626) 581-6936

316 E Las Tunas Dr
Ste 102
San Gabriel, CA 91776
Phone (626) 275-1154

316 E Las Tunas Dr
Ste 102SAN
San Gabriel, CA 91776

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1093801854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR",
            "address_2": "STE 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-300-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR STE 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761504",
            "telephone_number": "626-300-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENG",
        "first_name": "ZHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A701190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093801854",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.