Theresa Gertrude Zogakis, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

M2510 Issued in TX

Practice address

414 G St Ste 120
Marysville, CA 95901-5670

Phone

(530) 749-4304

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

Washington University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549
  Medicare reassignment Care Compare group NPD
• Surgical Affiliates of California

  • Surgery Physician
  • Los Banos, CA
  • NPI 1932440781
  Medicare reassignment NPD
• City of Hope Medical Group, Inc.

  • Anesthesiology Physician
  • Duarte, CA
  • NPI 1033435292

  Surgery

  NPD (past)
• University of Texas Southwestern Medical Center at Dallas

  • Psychiatric Hospital Unit
  • Dallas, TX
  • NPI 1144384876
  NPD (past)

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

• Rideout Memorial Hospital

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1255394938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SUNSET BLVD STE 170-158",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654338",
            "telephone_number": "916-747-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST STE 120",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015670",
            "telephone_number": "530-749-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOGAKIS",
        "first_name": "THERESA",
        "middle_name": "GERTRUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82403",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "M2510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177240201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuba Health Clinic, Inc
• Yuba Sutter Hospitalist Group
• Yuba Sutter Hospitalist Group
• Christine S Zenzen, PHARMD
• Elise Zink
• Cecilia Zuniga

• Surgical Oncology Physician in Marysville, CA
• Providers in Marysville, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
• 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.