Individual provider Active NPI

Zakwan Quwatli, MD

  • Pulmonary Disease Physician
  • Sacramento, CA
National Provider Identifier
1154468023
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A121261 Issued in CA
Practice address
3000 Q St FL 2
Sacramento, CA 95816-7058
Phone
(916) 733-3323
Fax
(916) 733-5383
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A121261 CA
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X A121261 CA Primary

Addresses

Primary practice location

3000 Q St FL 2
Sacramento, CA 95816-7058

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20120727000727 CA Practitioner - Pulmonary DiseasePractitioner - Allergy/ImmunologyPractitioner - Critical Care (Intensivists) 3476732405 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Allergy/Immunology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

1860 Pennsylvania Ave
Fairfield, CA 94533-3590
Phone (707) 646-4114

Hospital & facility affiliations

  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121261CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Jul 9, 2020 Accepting new patients
Northbay Health Medical Foundation Pulmonary Disease CurrentSince Jan 1, 2026 Accepting new patients
Marshall Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Marshall Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Veeone Medical Group PA Critical Care Medicine CurrentSince Oct 1, 2022 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Veeone Medical Group II Professional Corporation Critical Care Medicine CurrentSince Nov 8, 2022 Accepting new patients
Ccmma Ca PC Critical Care Medicine CurrentSince Jul 1, 2025 Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Woodlawn Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Marshall Medical Center Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince May 1, 2020 Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1860 Pennsylvania Ave
Ste 110
Fairfield, CA 94533
Phone (707) 254-9693

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1095 Marshall Way
Ste 100
Placerville, CA 95667
Phone (530) 344-5470

1420 E Roseville Pkwy
Ste 140
Roseville, CA 95661

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

3000 Q St
Fl 2
Sacramento, CA 95816
Phone (916) 733-3323

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

101 Main St
Winters, CA 95694
Phone (530) 795-4123

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1154468023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 Q ST FL 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167058",
            "telephone_number": "916-733-3323",
            "fax_number": "916-733-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUWATLI",
        "first_name": "ZAKWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A121261",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A121261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.