Individual provider Active NPI

John Charles Zimmerman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bakersfield, CA
National Provider Identifier
1235220211
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3392 Issued in CA
Practice address
9300 Stockdale Hwy
Suite 400
Bakersfield, CA 93311
Phone
(661) 663-8483
Fax
(661) 663-3095
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3392 CA Primary

Addresses

Primary practice location

9300 Stockdale Hwy
Suite 400
Bakersfield, CA 93311

Mailing address

9300 Stockdale Hwy
Suite 400
Bakersfield, CA 93311
Phone (661) 663-8483

Other identifiers 2

IdentifierTypeStateIssuer
000E33920OtherBLUE SHIELD
480031959OtherRAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000453 CA Practitioner - Podiatry 6103878350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle InstituteGroup PAC ID 2668424813, 5 clinicians

Practice addresses (Care Compare)

840 Tucker Rd G
Tehachapi, CA 93561-2565
Phone (661) 822-5537

9300 Stockdale Hwy
Suite 400
Bakersfield, CA 93311-3611
Phone (661) 663-9493

Merit-based Incentive Payment System (MIPS)

Final score
41.05 of 100Reported as group
Quality
0
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue69
Removal or shaving of skin growth45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3392CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Institute Foot & Ankle Surgery CurrentSince Jul 15, 1986 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Foot and Ankle Institute Foot & Ankle Surgery Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

9300 Stockdale Hwy
Ste 400
Bakersfield, CA 93311
Phone (661) 328-9913

840 Tucker Rd
Ste G
Tehachapi, CA 93561
Phone (661) 663-8483

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1235220211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HWY",
            "address_2": "SUITE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-663-8483",
            "fax_number": "661-663-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HWY",
            "address_2": "SUITE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93311",
            "telephone_number": "661-663-8483",
            "fax_number": "661-663-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000E33920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480031959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.