Organization Active NPI

Zahid B.M. Niazi M.D., Inc.

  • Plastic Surgery Physician
  • Elk Grove, CA
National Provider Identifier
1194903773
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C51628 Issued in CA
Legal business name
ZAHID B.M. NIAZI M.D., INC.
Practice address
9401 E Stockton Blvd
Ste 220
Elk Grove, CA 95624-5049
Phone
(916) 525-3966
Fax
(916) 525-3975
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Zahid B.M. Niazi, M.D.NPI 1245345941
Title
President
Phone
(916) 525-3966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X C51628 CA Primary

Addresses

Primary practice location

9401 E Stockton Blvd
Ste 220
Elk Grove, CA 95624-5049

Mailing address

9401 E Stockton Blvd
Ste 220
Elk Grove, CA 95624-5049
Phone (916) 525-3966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914000995 CA Part B Supplier - Clinic/Group Practice 2264409788 Receives reassigned benefits from 1 practitioner
Practice locations: Elk Grove, CA

National Provider Directory

National Provider Directory

Locations

9401 E Stockton Blvd
Ste 220
Elk Grove, CA 95624
Phone (916) 525-3966

9401 E Stockton Blvd
Ste 2
Elk Grove, CA 95624
Phone (916) 525-3966

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1194903773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 E STOCKTON BLVD",
            "address_2": "STE 220",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245049",
            "telephone_number": "916-525-3966",
            "fax_number": "916-525-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 E STOCKTON BLVD",
            "address_2": "STE 220",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245049",
            "telephone_number": "916-525-3966",
            "fax_number": "916-525-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHID B.M. NIAZI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_middle_name": "B.M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-525-3966",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C51628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.