Individual provider Active NPI

Terry Zahniser, NP

  • Emergency Medicine Physician
  • Sacramento, CA
National Provider Identifier
1205976198
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
NP11968 Issued in CA
Practice address
3701 J St Ste 201
Sacramento, CA 95816-5542
Phone
(916) 454-2345
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NP11968 CA Primary

Addresses

Primary practice location

3701 J St Ste 201
Sacramento, CA 95816-5542

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

Other identifiers 1

IdentifierTypeStateIssuer
RN521223MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090110000121 CA Practitioner - Nurse Practitioner 7012079411 Reassigns benefits to 3 organizations
I20200710002370 TX Practitioner - Nurse Practitioner 7012079411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11968CAMDProfessional Counselor
NP11968CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Constortium CurrentSince Oct 12, 2020 Accepting new patients
Elica Health Centers CurrentSince May 6, 2017 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince May 1, 2016 Accepting new patients
Elica Health Centers CurrentSince May 6, 2017 Accepting new patients
Active Life Wound Clinic a Professional Nursing Corporation CurrentSince Jan 10, 2024 Accepting new patients
Elica Health Centers Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 12, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Urgent Care Center of Folsom Past Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients
Active Life Wound Center a Professional Medical Corporation PastSince Dec 22, 2024 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1750 Wright St
Ste 1
Sacramento, CA 95825

2 Scripps Dr
Ste 202
Sacramento, CA 95825
Phone (916) 436-3015

1860 Howe Ave
Ste 440
Sacramento, CA 95825

3701 J St
Ste 201
Sacramento, CA 95816

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Organizations & group practices 11

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1205976198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 J ST STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165542",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHNISER",
        "first_name": "TERRY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "NP11968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN521223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.