Organization Active NPI

Zevah Corp

  • Orthopaedic Surgery Physician
  • Burlingame, CA
National Provider Identifier
1275266702
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ZEVAH CORP
Practice address
1501 Trousdale Dr Ste 115
Burlingame, CA 94010-4506
Phone
(801) 867-2002
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mr. JC Chavez, PA
Title
Partner Provider
Phone
(801) 867-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1501 Trousdale Dr Ste 115
Burlingame, CA 94010-4506

Mailing address

3308 Glendora Dr
San Mateo, CA 94403-3705
Phone (801) 867-2002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juan.chavez2@sutterhealth.org Direct Sutter Bay Medical Foundation

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221209002507 CA Part B Supplier - Clinic/Group Practice 0547639742 Receives reassigned benefits from 4 practitioners
Practice locations: Burlingame, CA; San Mateo, CA

National Provider Directory

National Provider Directory

Locations

1501 Trousdale Dr
Ste 115
Burlingame, CA 94010
Phone (650) 652-8729

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1275266702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 GLENDORA DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033705",
            "telephone_number": "801-867-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TROUSDALE DR STE 115",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104506",
            "telephone_number": "801-867-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEVAH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JC",
        "authorized_official_title_or_position": "PARTNER PROVIDER",
        "authorized_official_telephone_number": "801-867-2002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juan.chavez2@sutterhealth.org",
            "affiliation": "Y",
            "endpointDescription": "Private HIPPA compliant email",
            "affiliationName": "Sutter Bay Medical Foundation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1501 Trousdale Dr Ste 115",
            "city": "Burlingame",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940104506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.