Active NPI
Thomas H Zdimal, PA
- Physician Assistant
- Hollister, CA
National Provider Identifier
1245269836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10590
- Practice address
- 911 Sunset Dr
Hollister, CA 95023-5602 - Phone
- (831) 636-2640
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10590 | CA | Primary |
Addresses
Primary practice location
911 Sunset Dr
Hollister, CA 95023-5602
Mailing address
1275 Bird Ave
San Jose, CA 95125-1702
Phone (408) 287-8355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10590 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Em-I Medical Services, a Medical Corporation | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- King City, CA
- NPI 1659320893
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245269836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 BIRD AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951251702",
"telephone_number": "408-287-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 SUNSET DR",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235602",
"telephone_number": "831-636-2640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZDIMAL",
"first_name": "THOMAS",
"middle_name": "H",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA10590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.