Zeena Zaynab Al-Tai, MD
Individual provider Active NPI Family Medicine Physician · Ventura, CA
NPI 1205367349 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1205367349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A170443 (CA)
- Practice address
- 200 S Wells Rd Ste 100
Ventura, CA 93004-1378 - Phone
- (805) 647-6322
- Fax
- (805) 647-7164
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Ventura
Practice addresses (Care Compare)
1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4075
300 Hillmont Ave
Ventura, CA 93003-1651
Hospital & facility affiliations
- Adventist Health Simi Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 64.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211001002074 | CA | Practitioner - Family Practice | 0446679518 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A170443 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ventura | Current |
Accepting new patients | |
| Clinicas del Camino Real Inc | Current |
Accepting new patients | |
| Clinicas del Camino Real Inc | Current |
Accepting new patients | |
| County of Ventura | Current | Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| Clinicas del Camino Real Inc | Current |
Accepting new patients | |
| Clinicas del Camino Real Inc | Past |
Accepting new patients | |
| Clinicas del Camino Real Inc | Past |
Accepting new patients |
Locations
254 W Harvard Blvd
Ste B
Santa Paula, CA 93060
Phone (805) 229-0200
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000
800 S Victoria Ave
#L4640
Ventura, CA 93009
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
200 S Wells Rd
Ventura, CA 93004
Phone (805) 647-6322
200 S Wells Rd
Ste 100
Ventura, CA 93004
Phone (805) 647-6322
Interoperability endpoints
- zeena.altai.p1@direct.clinicas.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A170443 | CA | Yes |
Addresses
Primary practice location
200 S Wells Rd Ste 100
Ventura, CA 93004-1378
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930
Other practice location 1
127 E Los Angeles Ave Ste 110
Simi Valley, CA 93065
Phone (805) 582-4000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zeena.al-tai@ventura.cernerdirect.com | Direct |
Other providers in Ventura, CA
- Sylvia N Akar
- Anne Akhimien
- Ralph Andrew Akl
- Simon Akl
- Abdul Latif Saif Al-Kassir
- Zena Aladdin
- Leslye Alamillo
- Tiffany Ann Alamillo
- Jasmine Alarcon
- Claudia Esmeralda Alatorre
All providers in Ventura, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.