Individual provider Active NPI

Zachary Julian Taich, MD

  • Pulmonary Disease Physician
  • Oxnard, CA
National Provider Identifier
1174055180
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A169704 Issued in CA
Practice address
1910 Outlet Center Dr
Oxnard, CA 93036-0677
Phone
(805) 485-2400
Fax
(805) 485-3025
NPI assigned
Mar 29, 2017
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A169704 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A169704 CA
Pulmonary Disease Physician 207RP1001X A169704 CA Primary

Addresses

Primary practice location

1910 Outlet Center Dr
Oxnard, CA 93036-0677

Mailing address

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone (310) 825-5615

Other practice location 1

4000 Calle Tecate Ste 105
Camarillo, CA 93012-5283
Phone (805) 485-2400

Other practice location 2

St. John's Regional Medical Center
1600 N Rose Avenue
Oxnard, CA 93030
Phone (805) 988-2500

Other practice location 3

St. John's Pleasant Valley Hospital
2309 Antonio Avenue
Camarillo, CA 93010
Phone (805) 389-5800

Other practice location 4

10833 Le Conte Ave
Los Angeles, CA 90095-2570
Phone (310) 825-5615

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20230201002387 CA Practitioner - Internal Medicine 6406129915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Coast Critical Care Specialists, Inc.Group PAC ID 0941498190, 17 clinicians

Practice addresses (Care Compare)

1910 Outlet Ctr Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169704CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Pulmonary Physicians a Professional Medical Corporation Pulmonary Disease CurrentSince Aug 1, 2023 Accepting new patients
West Coast Critical Care Specialists, Inc. Critical Care Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

4000 Calle Tecate
Ste 105
Camarillo, CA 93012
Phone (805) 485-2400

4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400

1910 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 485-2400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: zachary.taich.p23@direct.wcp.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1174055180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Calle Tecate Ste 105",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930125283",
            "country_code": "US",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Regional Medical Center",
            "address_2": "1600 N Rose Avenue",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "93030",
            "country_code": "US",
            "telephone_number": "805-988-2500",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Pleasant Valley Hospital",
            "address_2": "2309 Antonio Avenue",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "93010",
            "country_code": "US",
            "telephone_number": "805-389-5800",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10833 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900952570",
            "country_code": "US",
            "telephone_number": "310-825-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAICH",
        "first_name": "ZACHARY",
        "middle_name": "JULIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A169704",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A169704",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A169704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.