Individual provider Active NPI

Min Zhao

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1164846234
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A138236 Issued in CA
Practice address
525 Third Ave
Chula Vista, CA 91910-5616
Phone
(858) 585-4319
Fax
(619) 585-4353
NPI assigned
Feb 10, 2014
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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 A138236 CA Primary

Addresses

Primary practice location

525 Third Ave
Chula Vista, CA 91910-5616

Mailing address

525 Third Ave
Chula Vista, CA 91910-5616
Phone (858) 585-4319

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
I20161007001334 CA Practitioner - Internal Medicine 7911295878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

16950 Via Tazon
San Diego, CA 92127-1607
Phone (858) 499-2600

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138236CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Sep 19, 2016 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Sep 19, 2016 Accepting new patients
Indiana University Health West Hospital Inc Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
The Health and Hospital Corporation of Marion County Past Accepting new patients
Indiana University Health North Hospital Inc Past Accepting new patients
Indiana University Health Inc Past Accepting new patients

Locations

525 Third Ave
Chula Vista, CA 91910
Phone (619) 585-4050

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Interoperability endpoints

  • Direct secure messaging: mzhao32543@sharphealthcare.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1164846234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105616",
            "telephone_number": "858-585-4319",
            "fax_number": "619-585-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105616",
            "telephone_number": "858-585-4319",
            "fax_number": "619-585-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "MIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A138236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.