Kai Cosmo Zajac, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1515 E Ocean Ave
Lompoc, CA 93436-7092

Phone

(770) 874-6854

NPI assigned

Sep 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kai.zajac@lvmc.eclinicaldirectplus.com

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.

• Lompoc Valley Medical Center

  • General Practice Physician
  • Lompoc, CA
  • NPI 1649282856
  Medicare reassignment NPD
• Santa Ynez River Physicians, PC

  • Emergency Medicine Physician
  • Lompoc, CA
  • NPI 1396210597
  Medicare reassignment

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1114575081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 PINE FLAT RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950609709",
            "telephone_number": "831-239-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367092",
            "telephone_number": "770-874-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "KAI",
        "middle_name": "COSMO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Suzanne Yeaw
• Soumya Yeturi, MD
• Kareem B Yostos, DO
• Megan Elizabeth Young
• Zaena D Isaac
• Guadalupe Citlally Zavala Zavala
• Sandra Zepeda
• Christina Lynn Zermeno, LVN, DSD
• Charles E Zimmer, PH.D.
• Zona Seca

• Physician Assistant in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.

Verify at the official NPI Registry.