Individual provider Active NPI

Noel Moradkhan Zomalan, MD

  • Family Medicine Physician
  • Turlock, CA
National Provider Identifier
1225240906
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A96546 Issued in CA
Practice address
2161 Colorado Ave
Ste a
Turlock, CA 95382-2007
Phone
(209) 634-9461
Fax
(209) 575-4598
NPI assigned
May 4, 2007
Last updated
Jan 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A96546 CA Primary

Addresses

Primary practice location

2161 Colorado Ave
Ste a
Turlock, CA 95382-2007

Mailing address

PO Box 4398
Modesto, CA 95352-4398
Phone (209) 575-4575

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
I20070627000349 CA Practitioner - Family PracticePractitioner - Internal Medicine 5496854754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2161 Colorado Ave a
Turlock, CA 95382-2007
Phone (209) 634-9461

PO Box
Suite 4398
Modesto, CA 95352

PO Box
Suite 4398
Modesto, CA 95352-4398

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96546CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noel M Zomalan MD Inc Family Medicine CurrentSince Apr 1, 2010 Accepting new patients
SC Chun MD, PC Past Accepting new patients
Oasis Surgical Prof Corp PastSince Dec 13, 2013 Accepting new patients

Locations

2161 Colorado Ave
Ste A
Turlock, CA 95382
Phone (209) 632-2960

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1225240906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524398",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 COLORADO AVE",
            "address_2": "STE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822007",
            "telephone_number": "209-634-9461",
            "fax_number": "209-575-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADKHAN ZOMALAN",
        "first_name": "NOEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A96546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.