Active NPI
J Peter Zegarra, MD
- Colon & Rectal Surgery Physician
- Sacramento, CA
National Provider Identifier
1245217371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- G52872
- Practice address
- 87 Scripps Drive
Suite 300
Sacramento, CA 95825-6504 - Phone
- (916) 923-0620
- Fax
- (916) 923-0662
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | G52872 | CA | Primary |
Addresses
Primary practice location
87 Scripps Drive
Suite 300
Sacramento, CA 95825-6504
Mailing address
87 Scripps Drive
Suite 300
Sacramento, CA 95825-6504
Phone (916) 923-0620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G528720 | Other | CA | MEDICARE PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100316000947 | CA | Practitioner - Colorectal Surgery (Proctology) | 9739214768 | Practice locations: Sacramento, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52872 | CA | MD | Marriage & Family Therapist |
| G52872 | CA | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1245217371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 SCRIPPS DRIVE",
"address_2": "SUITE 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256504",
"telephone_number": "916-923-0620",
"fax_number": "916-923-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 SCRIPPS DRIVE",
"address_2": "SUITE 300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256504",
"telephone_number": "916-923-0620",
"fax_number": "916-923-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEGARRA",
"first_name": "J PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "G52872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00G528720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.