Jared Alexander Zachary I

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1050 N Broadway
Escondido, CA 92026-3044

Phone

(760) 271-4855

NPI assigned

Nov 12, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1164935201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 LEWIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N BROADWAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263044",
            "telephone_number": "760-271-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "JARED",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720333537",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Youngberg, PHARMD
• Laila Yousefian, PMHNP
• Nicholas Yphantides, M.D
• Stephanie Suzanna Yzaguirre
• Ariana Zacarias, ASW
• Nadia Zadeh, DPT
• Adnan M Zahid, MD
• Zahra Hassantash DDS Ms Inc
• Noorina Ali Zaidi, O.D.
• Leanne M Zakrzewski, MD

• Case Manager/Care Coordinator in Escondido, CA
• Providers in Escondido, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.