Individual provider Active NPI

Zacharia Xavier John Williams, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1245945229
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2990 Lomita Blvd
Torrance, CA 90505-5102
Phone
(310) 546-3461
NPI assigned
Jan 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2990 Lomita Blvd
Torrance, CA 90505-5102

Mailing address

5983 E Pacific Coast Hwy Apt 2
Long Beach, CA 90803-4956
Phone (310) 892-9620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000883 CA Practitioner - Physical Therapist in Private Practice 1153763578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Beach Cities Orthopedics and Sports MedicineGroup PAC ID 7517014251, 33 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

400 S Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-6876
Phone (310) 546-3461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Cities Orthopedics and Sports Medicine CurrentSince Feb 19, 2024 Accepting new patients
Beach Cities Orthopedics & Sports Medicine CurrentSince Feb 19, 2024 Accepting new patients

Locations

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

2990 Lomita Blvd
#B
Torrance, CA 90505
Phone (310) 546-3461

2990 Lomita Blvd
Torrance, CA 90505
Phone (310) 546-3461

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1245945229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5983 E PACIFIC COAST HWY APT 2",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034956",
            "telephone_number": "310-892-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055102",
            "telephone_number": "310-546-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ZACHARIA",
        "middle_name": "XAVIER JOHN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.