Individual provider Active NPI

Eli S Zinner, MD

  • Obstetrics & Gynecology Physician
  • Santa Maria, CA
National Provider Identifier
1174614036
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G89288 Issued in CA
Practice address
116 South Palisade Drive
Suite 104
Santa Maria, CA 93454-8905
Phone
(805) 739-3957
Fax
(805) 739-3958
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G89288 CA Primary

Addresses

Primary practice location

116 South Palisade Drive
Suite 104
Santa Maria, CA 93454-8905

Mailing address

116 S Palisade Dr Ste 103
Santa Maria, CA 93454-8904
Phone (805) 922-8006

Other practice location 1

210 S Palisade Dr Ste 101
Santa Maria, CA 93454-5932
Phone (805) 922-0481

Other practice location 2

220 S Palisade Dr Ste 203
Santa Maria, CA 93454-8903
Phone (805) 354-7101

Other identifiers 1

IdentifierTypeStateIssuer
HJ747ZOtherCAMEDICARE ID

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
I20130730000105 CA Practitioner - Obstetrics/Gynecology 6204825177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Perelman School of Med at the University of Pennsylvania, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians

Practice addresses (Care Compare)

116 S Palisade Dr
Suite 104
Santa Maria, CA 93454-8905
Phone (805) 614-2095

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89288CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Jun 10, 2013 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Ages, PC Obstetrics & Gynecology Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

220 S Palisade Dr
Ste 203
Santa Maria, CA 93454
Phone (805) 354-7101

210 S Palisade Dr
Ste 101
Santa Maria, CA 93454
Phone (805) 922-0481

504 Plaza Dr
Santa Maria, CA 93454

116 S Palisade Dr
Ste 103
Santa Maria, CA 93454
Phone (805) 739-3280

116 S Palisade Dr
Ste 104
Santa Maria, CA 93454
Phone (805) 614-2095

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1174614036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S PALISADE DR STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548904",
            "telephone_number": "805-922-8006",
            "fax_number": "805-922-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SOUTH PALISADE DRIVE",
            "address_2": "SUITE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548905",
            "telephone_number": "805-739-3957",
            "fax_number": "805-739-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Palisade Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545932",
            "country_code": "US",
            "telephone_number": "805-922-0481",
            "fax_number": "805-925-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S Palisade Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934548903",
            "country_code": "US",
            "telephone_number": "805-354-7101",
            "fax_number": "805-354-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINNER",
        "first_name": "ELI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G89288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "HJ747Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.