David Zebrack DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5930 Issued in CA

Legal business name

DAVID ZEBRACK DO INC

Doing business as

Temecula Valley Primary Care Physicians

Practice address

40285 Winchester Rd
Suite 103
Temecula, CA 92591-5547

Phone

(951) 296-5844

Fax

(951) 296-5840

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Howard Zebrack, DONPI 1891873329

Title

Owner

Phone

(951) 296-5844

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Temecula Valley Primary Care Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• David Zebrack, D.O

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1891873329
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Marie Thomas, NP

  • Nurse Practitioner
  • Temecula, CA
  • NPI 1801315171
  Medicare reassignment Care Compare group NPD
• Douglas James Wise, D.O.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1568542363
  Medicare reassignment Care Compare group NPD
• Maria Barakzai, PA-C

  • Physician Assistant
  • Temecula, CA
  • NPI 1205331469
  Medicare reassignment
• Martha Susana Nemer Pelliza, M.D.

  • Internal Medicine Physician
  • Murrieta, CA
  • NPI 1265738355
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501459200000",
    "number": "1124395686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40285 WINCHESTER RD",
            "address_2": "SUITE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915547",
            "telephone_number": "951-296-5844",
            "fax_number": "951-296-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40285 WINCHESTER RD",
            "address_2": "SUITE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915547",
            "telephone_number": "951-296-5844",
            "fax_number": "951-296-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ZEBRACK DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2017-07-31",
        "status": "A",
        "authorized_official_last_name": "ZEBRACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-296-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00AX59300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temecula Valley Primary Care Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.