NPIMap

Individual provider Active NPI

Debralynne Zickafoose, M.D.

  • Internal Medicine Physician
  • Murrieta, CA
National Provider Identifier
1265406797
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54704 Issued in CA
Practice address
25500 Medical Center Drive
Murrieta, CA 92562
Phone
(951) 200-4601
Fax
(951) 200-4605
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A54704 CA Primary

Addresses

Primary practice location

25500 Medical Center Drive
Murrieta, CA 92562

Mailing address

29955 Technology Dr 103
Murrieta, CA 92563-2638
Phone (951) 200-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827001183 CA Practitioner - Internal Medicine 0345215828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Crossing Corporation 16 clinicians

Practice addresses (Care Compare)

39765 Date St
Suite 102
Murrieta, CA 92563-2005
Phone (951) 894-4665

Hospital & facility affiliations

  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Advantage Health Systems Home health agency, Riverside, CA, CCN 059476
  • Valley Care Home Health Services, Inc Home health agency, Temecula, CA, CCN 058146
  • Lorian Health Home health agency, Riverside, CA, CCN 059464
  • Bridge Home Health Home health agency, Murrieta, CA, CCN 559145
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54704CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Oct 15, 2014 Accepting new patients
Healthcare Crossing Corporation Internal Medicine CurrentSince Jan 15, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

39765 Date St
Ste 102
Murrieta, CA 92563

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

28125 Bradley Rd
Ste 170
Sun City, CA 92586
Phone (909) 676-4221

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Interoperability endpoints

  • Direct secure messaging: debralynne.zickafoose.1@10674.direct.athenahealth.com
  • Direct secure messaging: dzickafoose182205@direct.llu.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1265406797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29955 TECHNOLOGY DR 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632638",
            "telephone_number": "951-200-4601",
            "fax_number": "951-200-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEDICAL CENTER DRIVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-200-4601",
            "fax_number": "951-200-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKAFOOSE",
        "first_name": "DEBRALYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.