Organization Active NPI

Martin R Zapata DO Inc

  • Internal Medicine Physician
  • Norwalk, CA
National Provider Identifier
1194924498
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8058 Issued in CA
Legal business name
MARTIN R ZAPATA DO INC
Practice address
11865 Firestone Blvd
Norwalk, CA 90650-2902
Phone
(562) 806-1214
Fax
(562) 806-1218
NPI assigned
Jul 16, 2007
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Martin R Zapata, DONPI 1689628240
Title
Director
Phone
(626) 890-5915

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
Internal Medicine Physician 207R00000X 20A8058 CA Primary

Addresses

Primary practice location

11865 Firestone Blvd
Norwalk, CA 90650-2902

Mailing address

11865 Firestone Blvd
Norwalk, CA 90650-2902
Phone (562) 806-1214

Other identifiers 1

IdentifierTypeStateIssuer
020A80580OtherCABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000729 CA Part B Supplier - Clinic/Group Practice 4587744438 Receives reassigned benefits from 5 practitioners
Practice locations: South El Monte, CA; Paramount, CA; Norwalk, CA; Monterey Park, CA; Montebello, CA; Los Angeles, CA; Lynwood, CA; La Mirada, CA…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2032638Martin R Zapata, DO Inc11865 Firestone Blvd, Norwalk, CA 90650Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

10800 Paramount Blvd
Ste 202
Downey, CA 90241
Phone (562) 861-7226

14930 Imperial Hwy
La Mirada, CA 90638
Phone (562) 944-1900

11865 Firestone Blvd
Norwalk, CA 90650
Phone (562) 806-1214

16454 S Colorado Ave
Promise Hospital of E la
Paramount, CA 90723
Phone (562) 408-7461

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1194924498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11865 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502902",
            "telephone_number": "562-806-1214",
            "fax_number": "562-806-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502902",
            "telephone_number": "562-806-1214",
            "fax_number": "562-806-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN R ZAPATA DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-890-5915",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "020A80580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.